IndividualActive
Boniface Mbaka
NPI 1003625955 · Home Health Registered Nurse · San Antonio, TX
Provider details
- NPI number
- 1003625955
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 023742 (TX)
Practice location
12634 Nacogdoches Rd
San Antonio, TX 78217-2118
Phone: (713) 505-6686
Mailing address
12634 Nacogdoches Rd
San Antonio, TX 78217-2118
Registry dates
- Enumerated
- 2025-01-06
- Last updated
- 2025-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.