Individual
BONIFACE KAININ TANYUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 850-1315
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 850-1315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1207836
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
CO
Other
Enumeration date
11/23/2023
Last updated
07/28/2025
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