Organization
DIABETES AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN NGUNDU RD (DIABETIC EDUCATOR)
(210) 491-9655
Entity
Organization
Contact information
Practice address
20330 HUEBNER RD, SAN ANTONIO, TX 78258-3508
(210) 491-9655
Mailing address
20330 HUEBNER RD, SAN ANTONIO, TX 78258-3508
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81872
TX
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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