# ALAMO CACTUS HEALING STREAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841137080
- **Authorized official:** OLUWAGBENGA MICHAEL OPANUGA MICHAEL OPANUGA PMHNP-BC (NP)
- **Authorized official phone:** (210) 941-6877

## Contact information

- **Practice address:** 11415 SIMPLY SPOT, SAN ANTONIO, TX 78245
- **Practice address phone:** (210) 941-6877
- **Mailing address:** 11415 SIMPLY SPOT, SAN ANTONIO, TX 78245-4779
- **Mailing address phone:** (210) 941-6877
- **Mailing address fax:** (210) 941-6877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2026
- **Last updated:** 05/07/2026
