| Organization Name: | BIENESTAR, INC. |
| NPI Number: | 1356675854 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILEY A PATTERSON (OWNER/PROVIDER) |
| Mailing Address: | 300 E Grayson St Suite 100 San Antonio |
| State: | TX US |
| Postal Code: | 782151219 |
| Phone Number: | 2102246611 |
| Fax Number: | 8779688288 |
| NPI Enumeration Date: | 09/30/2009 |
| NPI Last Update Date: | 04/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G1745 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |