KLARISANA PHYSICIAN SERVICES PLLC (NPI# 1013384866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013384866 |
| Entity Type | Organization |
| Organization Name | KLARISANA PHYSICIAN SERVICES PLLC |
| Other Organization Name | KLARISANA PLLC |
| Practice Address |
8600 Wurzbach Rd Ste 1110 San Antonio TX 78240 |
| Mailing Address |
8600 Wurzbach Rd Ste 1110 San Antonio TX 78240-4334 |
| Practice Telephone | 2105561430 |
| Mailing Telephone | 2105561430 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | DR. CARL JOHN BONNETT (MANAGING MEMBER) |
| Authorized Official Telephone | 3039456054 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | P8449 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Klarisana PLLC | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4005 Spicewood Springs Rd Ste A200, Austin, TX 787598673 | 2105561430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418965 | Klarisana Physician Services Pllc | Clinic/Center | 5005 W 81st Pl Ste 403, Westminster, CO 80031-7025 | 2020-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KLARISANA PHYSICIAN SERVICES PLLC | 8600 Wurzbach Road Ste 1110, San Antonio, TX 78240-4334 |
| Colorado Business Entities | Klarisana Physician Services PLLC | 1200 S. Parker Rd., Ste 103, Denver, CO 80231 |
| Street Address |
8600 WURZBACH RD STE 1110 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184285587 | Vipulkumar P Prajapati | Pathology | 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 | 2019-06-26 |
| 1306406202 | Gabrielle Nicole Sepulveda | Audiologist | 21 Spurs Ln Ste 100, San Antonio, TX 78240 | 2019-06-13 |
| 1457919714 | Mbg Management Group LLC | Hospice Care, Community Based | 5460 Babcock Rd., Ste. 120, San Antonio, TX 78240 | 2019-06-03 |
| 1386117901 | Kevin M Miles | Counselor | 4820 Gus Eckert, #510, San Antonio, TX 78240 | 2019-01-07 |
| 1578046926 | Hubert Velasco | Physical Therapist | 5000 Fawn Meadow Lane, San Antonio, TX 78240 | 2018-09-12 |
| 1740767540 | Sunshine Pharmacy LLC | Pharmacy | 8840 Huebner Rd, San Antonio, TX 78240 | 2018-07-24 |
| 1982193132 | Fitch Surgical Assisting Group, LLC | Specialist/Technologist, Other | 6163 John Chapman, San Antonio, TX 78240 | 2018-05-03 |
| 1295243202 | Janice Marie Hennon | Nurse Practitioner | 9910 Huebner Rd., Suite 250, San Antonio, TX 78240 | 2018-01-12 |
| 1891213195 | Celina Paras | Dietitian, Registered | 6234 W. Jolie Ct., San Antonio, TX 78240 | 2017-09-07 |
| 1245757616 | Claudia G Valdez | Occupational Therapy Assistant | 9306 Maverick Pass, San Antonio, TX 78240 | 2017-08-27 |
| Find all providers in zip 78240 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720600778 | Cano Health Texas Pllc | General Practice | 7031 Marbach Rd, San Antonio, TX 78227-1911 | 2020-05-13 |
| 1962056762 | Medexpress Primary Care Texas, P.a. | General Practice | 6200 Northwest Pkwy, San Antonio, TX 78249-3348 | 2019-07-30 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| 1295231017 | Matthew Hagen | General Practice | Sammc Im Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2018-04-02 |
| 1881197945 | Caitlin Leigh Castle | General Practice | Uthscsa Dept. of Psychiatry, 7703 Floyd Curl Drive, Mail Code 7792, San Antonio, TX 78229-3900 | 2018-03-15 |
| 1710480025 | Patrick Richard Notini | General Practice | 7703 Floyd Curl Dr, Mail Code 7792, San Antonio, TX 78229-3900 | 2018-03-13 |
| 1316477821 | San Antonio Weightloss LLC | General Practice | 11212 State Highway 151 Ste 210, San Antonio, TX 78251-4501 | 2017-06-16 |
| 1336675396 | Morgan S Hardy | General Practice | 7703 Floyd Curl Dr. Rm 717.f4, Department of Psychiatry, San Antonio, TX 78229-3900 | 2017-05-11 |
| 1730542853 | Sylvester Luu | General Practice | San Antonio Military Medical Center Mche-zdm-m Internal, Medicine, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2016-04-05 |
| 1336538925 | Woundtech of Texas | General Practice | 12000 Huebner Rd Ste 104, San Antonio, TX 78230-1209 | 2015-01-20 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78240 |
Please comment or provide details below to improve the information on KLARISANA PHYSICIAN SERVICES 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.