NPI 1043554165
Mbssa
Practice location
- Address
- 2714 Thunder Gulch, San Antonio, TX 78245
- Phone
- (210) 430-1089
Authorised official
- Name
- Michelle Nunn
- Title
- Executive Director/Founder
- Phone
- (210) 430-1089
Registered specialties
Voluntary or Charitable Agency
Primary
Registry record
- NPI
- 1043554165
- Entity type
- Organization
- NPI issued
- 15 Nov 2012
- Record last updated
- 15 Nov 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.