Healthcare Provider Details

I. General information

NPI: 1316919509
Provider Name (Legal Business Name): BRENDA SEARS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 01/23/2024
Certification Date: 08/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BALCONES HEIGHTS VA CLINIC 4522 FREDERICKSBURG RD
SAN ANTONIO TX
78201
US

IV. Provider business mailing address

SOUTH TEXAS VETERANS HEALTH CARE SYSTEM 7400 MERTON MINTER ST
SAN ANTONIO TX
78229
US

V. Phone/Fax

Practice location:
  • Phone: 210-732-1802
  • Fax: 210-443-0241
Mailing address:
  • Phone: 210-808-5722
  • Fax: 210-539-2075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberQ6279
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: