Individual
MICHAEL BERT OPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
903 W MARTIN ST # MS 49-2, SAN ANTONIO, TX 78207-0903
(201) 358-0572
(210) 358-5940
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
813040
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1029036
TX
Other
Enumeration date
01/11/2021
Last updated
07/24/2024
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