Provider Demographics
NPI:1164125274
Name:SA HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:SA HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:A
Authorized Official - Last Name:RUNION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-595-0327
Mailing Address - Street 1:1426 SUN MTN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7358
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4400 S PIEDRAS DR STE 217
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1223
Practice Address - Country:US
Practice Address - Phone:210-275-1375
Practice Address - Fax:210-905-0018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty