Organization
MMNSA, LCC
Active
Organization
MMNSA, LCC
Active
Other names
My Medical Network Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCINA TREVINO M.D. (OWNER/ADMINISTRATOR)
(210) 932-2565
Entity
Organization
Contact information
Practice address
505 PLEASANTON RD, SAN ANTONIO, TX 78214-1335
(210) 932-2565
(210) 932-2566
Mailing address
505 PLEASANTON RD, SAN ANTONIO, TX 78214-1335
(210) 932-2565
(210) 932-2566
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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