Individual
MICHELLE HABASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 743-2100
(210) 702-6215
Mailing address
7703 FLOYD CURL DR # MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
(210) 450-4903
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
K2916
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
K2916
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125652107
—
TX
01
—
125652108
CSHCN
TX
Enumeration date
08/24/2006
Last updated
12/10/2019
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