BENJAMIN J MICKENS


Address: 7330 San Pedro, Suite 130, San Antonio, TX 78216-6235
Phone: 2103490550

BENJAMIN J MICKENS (NPI# 1295935666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295935666
Entity Type Individual
Full Name BENJAMIN J MICKENS
Practice Address 7330 San Pedro
Suite 130
San Antonio
TX 78216-6235
Mailing Address 8311 Copperside
Converse
TX 78109-3901
Practice Telephone 2103490550
Mailing Telephone 2107240968
Enumeration Date 2007-07-23
Last Update Date 2007-07-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 7330 SAN PEDRO
SUITE 130
City SAN ANTONIO
State TX
Zip Code 78216-6235

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750381497 Maria M Cabello Family Medicine 7330 San Pedro, Suite 405, San Antonio, TX 78216-6235 2005-07-22
1255642716 Inpatient Consultants of Texas, Pllc Family Medicine 7330 San Pedro, Suite 540, San Antonio, TX 78216-6235 2010-06-29
1275770794 Juanita Miranda Massage Therapist 7330 San Pedro, Suite 130, San Antonio, TX 78216-6235 2009-01-21
1144476284 Sean M Kelly Massage Therapist 7330 San Pedro, Suite 130, San Antonio, TX 78216-6235 2008-08-08
1063670214 Julie A Morrison Massage Therapist 7330 San Pedro, Suite 130, San Antonio, TX 78216-6235 2008-05-23
1871769083 Kimberly Harrington Massage Therapist 7330 San Pedro, Suite 130, San Antonio, TX 78216-6235 2008-05-07
1295900918 Theodore A Alvarado Massage Therapist 7330 San Pedro, Suite 130, San Antonio, TX 78216-6235 2008-04-23
1508040098 John T. Sorrells Internal Medicine 7330 San Pedro, Ste. 405, San Antonio, TX 78216-6235 2007-12-20
1689853939 Leticia Flores Massage Therapist 7330 San Pedro, Suite 130, San Antonio, TX 78216-6235 2007-11-02
1952580219 Beverly K Manuel Massage Therapist 7330 San Pedro, Suite 130, San Antonio, TX 78216-6235 2007-11-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376179820 Damiana Lea Mcmahan Speech-Language Pathologist 12 Inter Park Blvd, #105, San Antonio, TX 78216 2020-03-17
1811530967 Hacienda Hospice, Ltd Hospice Care, Community Based 101 W Silver Sands Dr, San Antonio, TX 78216 2019-10-22
1437792876 Eddy Sidra Optometrist 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 2019-10-17
1083256796 Tiffany Michelle Goericke Physical Therapist 502 East Ramsey, San Antonio, TX 78216 2019-10-14
1780246942 Esperanza Eating Disorders Center, Pllc Clinic/Center 403 E. Ramsey, Suite 204, San Antonio, TX 78216 2019-07-08
1568938314 Lyric Lea Lewis Licensed Vocational Nurse 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 2018-10-19
1912488206 Rebecca Anna Poppe Licensed Vocational Nurse 1514 Vista Del Norte, San Antonio, TX 78216 2018-08-24
1205338779 Bailee Hannah Mokry Behavioral Analyst 11306 Sir Winston, San Antonio, TX 78216 2018-03-01
1487155677 Ojer Corbie Behavior Technician 11310 Sir Winston At Bld D, San Antonio, TX 78216 2018-02-23
1366943631 Briana Nicole Rodriguez Behavior Technician 14235 Blanco Road, San Antonio, TX 78216 2018-02-22
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154922474 Shavana Williams Massage Therapist 3787 Perrin Central Blvd Apt 927, San Antonio, TX 78217-2822 2020-11-03
1144836743 Amanda Lozano Massage Therapist 7810 Velez Park Dr, San Antonio, TX 78249-4479 2020-09-18
1740895036 Lisa Kozodoy Massage Therapist 4847 Brandeis St Unit 2201, San Antonio, TX 78249-4387 2020-09-13
1922612605 Stephanie Clark Massage Therapist 15227 Spring Cor, San Antonio, TX 78247-1693 2020-09-01
1629681549 Nadira Campbell Massage Therapist 9525 Lorene Ln Apt 190, San Antonio, TX 78216-5008 2020-08-29
1457963688 Kelsie Webb Massage Therapist 25675 Overlook Pkwy Apt 1904, San Antonio, TX 78260-2557 2020-08-19
1891306197 Michael Owen Chase Massage Therapist 147 Teakwood Ln, San Antonio, TX 78216-6823 2020-08-11
1790318400 Judith Poole Massage Therapist 10919 Culebra Rd Ste 112, Room 5, San Antonio, TX 78253 2020-02-20
1205472701 Joshua Alexander Massage Therapist 7530 Bandera Rd Ste 120, San Antonio, TX 78238-1269 2019-11-20
1154972545 Raul Ramirez IIi Massage Therapist 18818 Meisner Dr Ste 102, San Antonio, TX 78258-3569 2019-09-26
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Competitor

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City SAN ANTONIO
Zip Code 78216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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