Individual
NIDIA PAULINA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9734 SILVER MOON, SAN ANTONIO, TX 78254-6136
(210) 464-2608
Mailing address
9734 SILVER MOON, SAN ANTONIO, TX 78254-6136
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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