SERENITY OAKS, PLLC (NPI# 1730742198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730742198 |
| Entity Type | Organization |
| Organization Name | SERENITY OAKS, PLLC |
| Practice Address |
5368 Fredericksburg Rd Ste 100 San Antonio TX 78229-6108 |
| Practice Telephone | 2105494333 |
| Practice Fax Number | 2105494339 |
| Mailing Telephone | 2105494333 |
| Mailing Fax Number | 2105494339 |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2019-04-20 |
| Authorized Official Name | DR. RAUL G MARTINEZ (OWNER) |
| Authorized Official Telephone | 2105494333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | J9906 | 01 |
| Street Address |
5368 FREDERICKSBURG RD STE 100 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-6108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636335 | Phoenix Houses of Texas, Inc | Clinic/Center | 1135 Mission Rd Bldg 2, San Antonio, TX 78210-4505 | 2019-02-28 |
| 1548784705 | Clayton & Blue Recovery | Clinic/Center | 7603 Caballo Cyn, San Antonio, TX 78244-3513 | 2017-07-31 |
| 1336599182 | Soba Texas LLC | Clinic/Center | 1401 Dezarae, Lot 4, San Antonio, TX 78253 | 2016-06-13 |
| 1639491970 | Alpha Home Inc | Clinic/Center | 300 E Mulberry Ave, San Antonio, TX 78212-3023 | 2010-02-26 |
| 1114050010 | Preferred Family Healthcare | Clinic/Center | 306 S Flores St, San Antonio, TX 78204-1106 | 2007-03-13 |
| 1841768702 | Onto Treatment Center | Clinic/Center | 23103 Ih 10 W Ste 105, San Antonio, TX 78257-1689 | 2018-11-08 |
| 1700393972 | Nuhope Sa Recovery LLC | Clinic/Center | 19026 Ridgewood Pkwy Ste 311, San Antonio, TX 78259-5502 | 2018-01-09 |
| 1780031237 | Taj Management, LLC | Clinic/Center | 10730 Potranco Rd, Ste 122-242, San Antonio, TX 78251-3327 | 2016-05-14 |
| 1912382748 | The Best Option, Limited Liability Company | Clinic/Center | 3700 Fredericksburg Rd Ste 137, San Antonio, TX 78201-3268 | 2015-07-22 |
| 1942434725 | San Antonio Lifetime Recovery, Inc. | Clinic/Center | 10290 Southton Rd, San Antonio, TX 78223-4835 | 2009-05-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
Please comment or provide details below to improve the information on SERENITY OAKS, PLLC.
| 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.