Individual
SAMO AL KINANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9715 MILL PATH, SAN ANTONIO, TX 78254-5607
(210) 639-9933
Mailing address
9715 MILL PATH, SAN ANTONIO, TX 78254-5607
(210) 639-9933
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TX
347C00000X
Private Vehicle
MVV7017
TX
347C00000X
Private Vehicle
—
TX
Other
Enumeration date
12/23/2020
Last updated
01/19/2021
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