Individual provider · Type 1 NPI
Boniface Mbaka
Home Health Registered Nurse · San Antonio, TX
NPI number
1003625955
Active
Practice location
12634 Nacogdoches Rd
San Antonio, TX 78217-2118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide | 374U00000X | 023742 (TX) |
| Home Health Registered Nurse Primary | 163WH0200X | 023742 (TX) |
Home Health Registered Nurse: Definition to come...
2 other providers at this address
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About NPI 1003625955
Boniface Mbaka's National Provider Identifier is 1003625955, issued on Jan 6, 2025. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in San Antonio, TX. The record was last updated on Jan 6, 2025.