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Individual

MR. MICHAEL PLOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCDC

Contact information

Practice address
4455 HORIZON HL, SAN ANTONIO, TX 78229-2258
(210) 321-2700
(210) 321-2705
Mailing address
4455 HORIZON HL, SAN ANTONIO, TX 78229-2258
(210) 321-2700
(210) 321-2705

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
10140
TX

Other

Enumeration date
11/23/2010
Last updated
11/23/2010
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