Individual
MAYA SAMIR DATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9255 FM 471 WEST, SAN ANTONIO, TX 78250
(210) 680-2958
Mailing address
9255 FM 471 WEST, SAN ANTONIO, TX 78250
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
272606
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272606
CPHT
TX
Enumeration date
11/29/2022
Last updated
11/29/2022
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