Individual
ALFREDO MUJICA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4211 GARDENDALE ST STE A201, SAN ANTONIO, TX 78229-3180
(210) 614-4434
(210) 614-4407
Mailing address
10534 TIMBER COUNTRY , SAN ANTONIO, TX, 78254, SAN ANTONIO, TX 78254
(956) 251-6963
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36163
TEXAS BOARD OF SPEECH AND LANGUAGE
TX
Enumeration date
09/11/2018
Last updated
09/11/2018
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