NPIMap

Organization Active NPI

Serenagroup Professional Services, PLLC.

  • Multi-Specialty Clinic/Center
  • San Antonio, TX
National Provider Identifier
1780058834
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SERENAGROUP PROFESSIONAL SERVICES, PLLC.
Practice address
9502 Huebner Road
Suite 301
San Antonio, TX 78240-1683
Phone
(913) 426-4995
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas E. Serena, MDNPI 1194714139
Title
Owner
Phone
(913) 426-4995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9502 Huebner Road
Suite 301
San Antonio, TX 78240-1683

Mailing address

90 Sherman St
Cambridge, MA 02140-3264

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1780058834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SHERMAN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021403264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9502 HUEBNER ROAD",
            "address_2": "SUITE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401683",
            "telephone_number": "913-426-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENAGROUP PROFESSIONAL SERVICES, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "SERENA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-426-4995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.