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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | 10715 | TX | Managed Care Organizations |
Street Address |
1139 GEMBLER RD |
City | SAN ANTONIO |
State | TX |
Zip Code | 78219-3224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861027153 | Converse Smiles Pllc | Dentist | 4230 N Foster Road, San Antonio, TX 78219 | 2020-03-06 |
1073145520 | Justin Sheer | Physical Therapist | 3453 Interstate 35 N, #120, San Antonio, TX 78219 | 2020-02-12 |
1982071130 | Andrea Davis | Counselor | 4303 Spring Oak Dr, San Antonio, TX 78219 | 2015-08-24 |
1730570706 | Megan Tanguma | Physical Therapy Assistant | 3453 Ih35 North, Ste 120, San Antonio, TX 78219 | 2015-02-12 |
1720320856 | Gilou Cledanor | Occupational Therapy Assistant | 3453 I 35, Suite 110, San Antonio, TX 78219 | 2013-03-27 |
1104007590 | American Current Care, P.a., Dba Concentra Urgent Care | Clinic/Center | 3453 North Hwy., Suite 110 (east), San Antonio, TX 78219 | 2007-11-14 |
1851597538 | City of Kirby | Ambulance | 5560 Duffek, Kirby, TX 78219 | 2007-06-21 |
1235341835 | Gerald Ross Adcock | Physical Therapist | 3453 Ih35 North Suite 207 B, San Antonio, TX 78219 | 2007-05-04 |
1023131802 | Clifford R Shaw | Preventive Medicine | 3453 North Hwy 35, Suite 110, San Antonio, TX 78219 | 2007-04-09 |
1508989641 | Mark Mason | Independent Medical Examiner | 3453 Hwy 35, Suite 110, San Antonio, TX 78219 | 2007-04-06 |
Find all providers in zip 78219 |
Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700438827 | Cleveland Phillips Jr. | Preferred Provider Organization | 11146 Vance Jackson Rd Apt 3801, San Antonio, TX 78230-2563 | 2019-07-09 |
1639508799 | Uthscsa, Dental School | Preferred Provider Organization | 7703 Floyd Curl Dr # 7892, San Antonio, TX 78229-3901 | 2013-11-08 |
1740511336 | Pressing On | Preferred Provider Organization | 12001 Network Blvd, Suite 314, San Antonio, TX 78249-3351 | 2010-01-20 |
1447404181 | Karen Rice Brydon | Preferred Provider Organization | 3107 Broadway St, San Antonio, TX 78209-6718 | 2008-11-07 |
1700074176 | A Femme | Preferred Provider Organization | 14327 Blanco Rd, San Antonio, TX 78216-7723 | 2007-10-10 |
1548702582 | Woods R. Woolwine IIi, Dds, Pllc | Preferred Provider Organization | 155 E Sonterra Blvd, Ste 205, San Antonio, TX 78258-3987 | 2016-11-08 |
1831561208 | Pro-active Neurology & Sports Rehab | Preferred Provider Organization | 7355 Barlite Blvd Ste 101, San Antonio, TX 78224-1340 | 2015-10-26 |
1043640469 | Jawad Zar Shaikh, M.d., P. A. | Preferred Provider Organization | 414 Navarro St, Suite 1431, San Antonio, TX 78205-2516 | 2013-11-21 |
1932460318 | Shana Nistar, D.d.s. P.C. | Preferred Provider Organization | 1202 E Sonterra Blvd, 502, San Antonio, TX 78258-4089 | 2012-06-02 |
1639330186 | Adobe Creek Family Medical Clinic, Pa | Preferred Provider Organization | 2826 Thousand Oaks Dr, San Antonio, TX 78232-4108 | 2008-06-18 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78219 |
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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.