Individual
MITARHO MOSES AKPOYOWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 334-3780
(210) 334-3786
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 334-3700
(210) 922-0162
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
635143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YO168364
DPS
TX
Enumeration date
08/26/2009
Last updated
03/07/2023
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