Provider Demographics
NPI:1780266031
Name:SANA VIDA WELLNESS CENTER PLLC
Entity type:Organization
Organization Name:SANA VIDA WELLNESS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCHANEN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP, ENP
Authorized Official - Phone:361-438-4000
Mailing Address - Street 1:128 W BANDERA RD STE 1
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-3087
Mailing Address - Country:US
Mailing Address - Phone:210-879-4275
Mailing Address - Fax:210-892-3636
Practice Address - Street 1:128 W BANDERA RD STE 1
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-3087
Practice Address - Country:US
Practice Address - Phone:210-879-4275
Practice Address - Fax:210-892-3636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty