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General NPI Number Information
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NPI Number | 1538659263
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Entity Type | Organization
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Legal Business Name | SHOLAR SERENITY MEDICAL CENTERS, PLLC
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 7959 FREDERICKSBURG RD STE 135
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3431
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Country | US
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Telephone | 512-646-2743
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Fax |
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Provider Business Mailing Address
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Address Line | 4810 ECK LN
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City | AUSTIN
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State | TX
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Zip | 78734-1223
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Country | US
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Telephone | 512-646-2743
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ALINA D. SHOLAR
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Credential | MD
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Telephone | 512-646-2743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | P9255
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | K6822
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | P9255
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | K6822
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License Number State | TX
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