IME MBANG

SAN ANTONIO, TX
NPI1861970436
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  308469)
Enumeration Date2018-08-05
Last Update Date2018-08-05
Business Address
IME MBANG LVN
234 CONWAY DR
SAN ANTONIO, TX 78209-1716
Phone number: 210-612-8318
Mailing Address
IME MBANG LVN
3711 MEDICAL DR APT 1527
SAN ANTONIO, TX 78229-2289
Phone number: 210-612-8318