Individual
BESSY M MOONNUMACKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2515 CASTROVILLE RD STE 1, SAN ANTONIO, TX 78237-3361
(210) 946-5633
(210) 946-5632
Mailing address
8527 VILLAGE DR STE 205, SAN ANTONIO, TX 78217-5507
(210) 946-5633
(210) 946-5632
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP129068
TX
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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