NPI 1063664746
Theophilus Agbuke
Practice location
- Address
- 2458 Harry Wurzbach Rd #2, San Antonio, TX 78209-5002
- Phone
- (210) 804-1663
- Fax
- (210) 804-1663
- Mailing address
- PO Box 781686, San Antonio, TX 78278-1686
Authorised official
- Name
- Theophilus Agbuke
- Title
- President
- Phone
- (210) 804-1663
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1063664746
- Entity type
- Organization
- NPI issued
- 14 Oct 2008
- Record last updated
- 14 Oct 2008
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.