Provider Information for 1033669452
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NAHVIA HENRY
Sex: Female
NPI: 1033669452
Last Updated: 2023-11-30
Certification Date: 2023-11-30
Certification Date: 2023-11-30
Details
Name | Value | ||||||||||||||||
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NPI | 1033669452 | ||||||||||||||||
Enumeration Date | 2016-10-10 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||
Status | Active | ||||||||||||||||
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 | ||||||||||||||||
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