MIND, BODY & SOUL, INC.


Address: 1139 Gembler Rd, San Antonio, TX 78219-3224
Phone: 2105518244

MIND, BODY & SOUL, INC. (NPI# 1942682737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942682737
Entity Type Organization
Organization Name MIND, BODY & SOUL, INC.
Practice Address 1139 Gembler Rd
San Antonio
TX 78219-3224
Mailing Address 6039 Lakeview Dr
San Antonio
TX 78244-1689
Practice Telephone 2105518244
Practice Fax Number 2102639765
Mailing Telephone 2105518244
Mailing Fax Number 2102639765
Enumeration Date 2015-06-29
Last Update Date 2015-06-29
Authorized Official Name MR. ALBERT BRYAN (OWNER/OPERATOR)
Authorized Official Telephone 2105518244
Authorized Official Credential LCDC/MSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization 10715 TX Managed Care Organizations

Office Location

Street Address 1139 GEMBLER RD
City SAN ANTONIO
State TX
Zip Code 78219-3224

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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

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Competitor

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City SAN ANTONIO
Zip Code 78219

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Dataset Information

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.

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