Organization
MI VIDA DIAGNOSTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY HERNANDEZ FNP (OWNER)
(210) 550-4533
Entity
Organization
Contact information
Practice address
18816 FM 2252 STE B, SAN ANTONIO, TX 78266-2853
(210) 823-0100
Mailing address
18816 FM 2252 STE B, SAN ANTONIO, TX 78266-2853
(210) 823-0100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/14/2022
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