PEACHWOOD WELLNESS PLLC (NPI# 1669858353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669858353 |
| Entity Type | Organization |
| Organization Name | PEACHWOOD WELLNESS PLLC |
| Practice Address |
8301 Broadway Suite 422 San Antonio TX 78209 |
| Practice Telephone | 2107011509 |
| Mailing Telephone | 2107011509 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | MR. MATTHEW JAMES HANSON (LICENSED ACUPUNCTURIST) |
| Authorized Official Telephone | 2107011509 |
| Authorized Official Credential | L.AC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
8301 BROADWAY SUITE 422 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1487214342 | Patrick Robinson Md LLC | Clinic/Center | 12630 Curley St Ste 104, San Antonio, FL 33576-8095 | 2019-06-13 |
| 1982129706 | Goldenbear Rc Services LLC | Clinic/Center | 18756 Stone Oak Parkway, 248, San Antonio, TX 78295-7825 | 2017-08-14 |
| 1043876568 | Dynamic Dermatology, Pllc | Clinic/Center | 13535 Hausman Pass Ste 104, San Antonio, TX 78249-3581 | 2019-05-10 |
| 1548728645 | Regenerative Clinics of San Antonio | Clinic/Center | 2115 Pleasanton Rd Ste 203, San Antonio, TX 78221-1300 | 2019-03-07 |
| 1336607977 | Tina Batten | Clinic/Center | 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6720 | 2019-03-02 |
| 1891250742 | Jesse Saucedo | Clinic/Center | 2115 Pleasanton Rd Ste 203, San Antonio, TX 78221-1300 | 2019-02-05 |
| 1679062251 | F Silva Md Pllc | Clinic/Center | 14615 San Pedro Ave Ste 105, San Antonio, TX 78232-4364 | 2018-05-09 |
| 1710408265 | Synaptoveda Pa | Clinic/Center | 4402 Vance Jackson Rd Ste 214, San Antonio, TX 78230-5334 | 2017-07-05 |
| 1326580408 | Texas Derm Institute, Pa | Clinic/Center | 24165 W Ih 10, Suite 102, San Antonio, TX 78257-1114 | 2016-11-07 |
| 1821459827 | Geriatric and Palliative Medical Care of Texas LLC | Clinic/Center | 4879 Corian Springs Dr, San Antonio, TX 78247-5599 | 2016-03-18 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.