BLAKE MENCHACA

SAN ANTONIO, TX
NPI1699217547
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  AP132573)
Enumeration Date2016-11-09
Last Update Date2016-12-12
Business Address
-- BLAKE MENCHACA AG-ACNP
21 SPURS LN STE 230B
SAN ANTONIO, TX 78240-1671
Phone number: 210-690-7400
Mailing Address
-- BLAKE MENCHACA AG-ACNP
21 SPURS LN STE 230B
SAN ANTONIO, TX 78240-1669
Phone number: 210-690-7400
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