BLACK DIAMOND MED SPA is a family nurse practitioner in San Antonio, TX. BLACK DIAMOND MED SPA NPI is 1932585965. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
18730 STONE OAK PKWY STE 106 SAN ANTONIO, TX ZIP 78258-140 Phone: (210) 403-2552 Fax: (210) 403-2144
The provider's authorized official is Jonas Crafts . The authorized official title is Manager and has the following contact phone number (210) 403-2552.
The enumeration date for this NPI number is 7/31/2015 and was last updated on 7/31/2015.
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:
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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