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Provider Information for 1033669452


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NAHVIA HENRY


Sex: Female

NPI: 1033669452
Last Updated: 2023-11-30
Certification Date: 2023-11-30

Details

NameValue
NPI1033669452
Enumeration Date2016-10-10
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2939 W WOODLAWN AVE
SAN ANTONIO, TX 78228-5015
United States

Phone: 210-503-4500 | Fax:
 
Primary Practice Address 2939 W WOODLAWN AVE
SAN ANTONIO, TX 78228
United States

Phone: 210-503-4500 | Fax:
 
Secondary Practice Address(es)

4243 E PIEDRAS DR
BEAUMONT BUILDING , SUITE 100
SAN ANTONIO, TX 78228-1421
United States

Phone: 210-733-7117 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 171M00000X - Case Manager/Care Coordinator
Yes 101YP2500X - Counselor - ProfessionalTX74497
No 101Y00000X - Counselor TX74497