MR. BONIFACE MBAKA NPI 1003625955

NPI Information

  • NPI: 1003625955
  • Provider Name: MR. BONIFACE MBAKA
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 12634 NACOGDOCHES RD
    SAN ANTONIO, TX
    ZIP 78217
  • Phone: (713) 505-6686

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NPI Details

MR. Boniface Mbaka is a home health registered nurse in San Antonio, TX. MR. Boniface Mbaka NPI is 1003625955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12634 NACOGDOCHES RD
SAN ANTONIO, TX
ZIP 78217-118
Phone: (713) 505-6686

The enumeration date for this NPI number is 1/6/2025 and was last updated on 1/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1374U00000XHome Health Aide023742TEXASNo
2163WH0200XRegistered NurseHome Health023742TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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