Provider Demographics
NPI:1508257346
Name:CHRISTINA WEI,PHD,RN,PMHNP-BC,PLLC
Entity Type:Organization
Organization Name:CHRISTINA WEI,PHD,RN,PMHNP-BC,PLLC
Other - Org Name:ALAMO ELITE WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-481-8673
Mailing Address - Street 1:4242 WOODCOCK DR STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1325
Mailing Address - Country:US
Mailing Address - Phone:210-481-8673
Mailing Address - Fax:210-314-2480
Practice Address - Street 1:4242 WOODCOCK DR STE 201
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1325
Practice Address - Country:US
Practice Address - Phone:210-481-8673
Practice Address - Fax:210-314-2480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-16
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP119196261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)