Organization
BLACK DIAMOND MED SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONAS CRAFTS (MANAGER)
(210) 403-2552
Entity
Organization
Contact information
Practice address
18730 STONE OAK PKWY, STE 106, SAN ANTONIO, TX 78258-4140
(210) 403-2552
(210) 403-2144
Mailing address
18730 STONE OAK PKWY, STE 106, SAN ANTONIO, TX 78258-4140
(210) 403-2552
(210) 403-2144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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