Provider Demographics
NPI:1942601380
Name:BELLINGER WELLNESS CLINIC
Entity Type:Organization
Organization Name:BELLINGER WELLNESS CLINIC
Other - Org Name:HIS HOLDINGS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:NURSE CONSULTANT/EDUCATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARIMA
Authorized Official - Middle Name:O
Authorized Official - Last Name:HILLS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:800-447-3186
Mailing Address - Street 1:812 S HACKBERRY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78203-1432
Mailing Address - Country:US
Mailing Address - Phone:800-447-3186
Mailing Address - Fax:
Practice Address - Street 1:812 S HACKBERRY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78203-1432
Practice Address - Country:US
Practice Address - Phone:800-447-3186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX726180261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health