MEDICARE: BELLINGER WELLNESS CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1500X	Community Health Clinic/Center	726180	TX

General Provider Information

NPI Number	:	1942601380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLINGER WELLNESS CLINIC

Provider Business Mailing Address
First Line	:	812 S HACKBERRY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78203-1432
Country	:	US
Telephone Number	:	800-447-3186
Fax Number	:

Provider Business Practice Location Address
First Line	:	812 S HACKBERRY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78203-1432
Country	:	US
Telephone Number	:	800-447-3186
Fax Number	:

Authorized Official
Title or Position	:	NURSE CONSULTANT/EDUCATOR
Name	:	MRS. KARIMA O HILLS
Credential	:	R.N.
Telephone Number	:	800-447-3186

Provider Enumeration Date	:	09/04/2014
Last Update Date	:	09/04/2014

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Directions to “BELLINGER WELLNESS CLINIC ” Practice Location

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