Individual
SOAD MICHELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8535 TOM SLICK, SAN ANTONIO, TX 78229-3367
(210) 582-6440
(210) 692-9021
Mailing address
8535 TOM SLICK, SAN ANTONIO, TX 78229-3367
(210) 582-6440
(210) 692-9021
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
L5052
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
L5052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154055101
—
TX
Enumeration date
08/25/2006
Last updated
12/27/2011
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