| Mi Vida Diagnostics Pllc | |
|
18816 Fm 2252 Ste B San Antonio TX 78266-2853 | |
| (210) 823-0100 | |
| Not Available |
| Full Name | Mi Vida Diagnostics Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 18816 Fm 2252 Ste B, San Antonio, Texas |
| Authorized Official Name and Position | Ashley Hernandez (OWNER) |
| Authorized Official Contact | 2105504533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi Vida Diagnostics Pllc 18816 Fm 2252 Ste B San Antonio TX 78266-2853 Ph: (210) 823-0100 | Mi Vida Diagnostics Pllc 18816 Fm 2252 Ste B San Antonio TX 78266-2853 Ph: (210) 823-0100 |
| NPI Number | 1568172104 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 12/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568172104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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