NPI: 1902422785
Provider Name: MICABY MEDICAL,PLLC
Doing Business As: MICABY MEDICAL,PLLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization
Specialization: Nephrology
Address:
10730 POTRANCO RD STE 122-507
SAN ANTONIO, TX
ZIP 78251
Phone: (210) 858-7604
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MICABY MEDICAL,PLLC is a nephrology internal medicine in San Antonio, TX. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. MICABY MEDICAL,PLLC NPI is 1902422785. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Micaby Medical,pllc.
The provider's business location address is:
10730 POTRANCO RD STE 122-507
SAN ANTONIO, TX
ZIP 78251-327
Phone: (210) 858-7604
Fax: (210) 888-0383
The provider's authorized official is Hezekiah Oluwarotimi Sobamowo .
The authorized official title is President and has the following contact phone number (615) 397-0896.
The enumeration date for this NPI number is 6/17/2020 and was last updated on 10/14/2020.