Provider Demographics
NPI:1538659263
Name:SHOLAR-CHEN SERENITY MEDICAL CENTERS, PLLC
Entity Type:Organization
Organization Name:SHOLAR-CHEN SERENITY MEDICAL CENTERS, PLLC
Other - Org Name:SERENITY MEDICAL CENTERS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOLAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-952-0349
Mailing Address - Street 1:4810 ECK LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78734-1223
Mailing Address - Country:US
Mailing Address - Phone:512-952-0349
Mailing Address - Fax:
Practice Address - Street 1:818 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-17
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6822207QA0505X, 208100000X
TXP9255208100000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty