Individual
MR. MICHAEL ANTHONY CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
210 WHITE FEATHER TRL, DEL RIO, TX 78840-2028
(830) 734-0191
(830) 775-8933
Mailing address
210 WHITE FEATHER TRL, DEL RIO, TX 78840-2028
(830) 734-0191
(830) 775-8933
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
LBSW 24298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417969247
GROUP NPI
TX
Enumeration date
11/21/2007
Last updated
11/21/2007
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