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Organization
MISSION TRAIL MENTAL HEALTH CLINIC PLLC
Active
Organization
MISSION TRAIL MENTAL HEALTH CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLINS IZIMBA PMHNP (MEDICAL DIRECTOR)
(913) 963-6059
Entity
Organization
Contact information
Practice address
700 N SAINT MARYS ST STE 1400, SAN ANTONIO, TX 78205-3535
(913) 963-6059
Mailing address
700 N SAINT MARYS ST STE 1400, SAN ANTONIO, TX 78205-3535
(913) 963-6059
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/18/2026
Last updated
10/08/2026
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