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.