Individual
ABU MARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8600 WURZBACH RD STE 700, SAN ANTONIO, TX 78240-4332
(210) 737-8090
Mailing address
5239 EISENHAUER RD APT 411, SAN ANTONIO, TX 78218-3706
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
215977
TX
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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