Individual
MR. JUAN CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN,RN
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-4233
Mailing address
11051 FALLING WATER, SAN ANTONIO, TX 78249-3884
(210) 831-1783
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
916590
TX
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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