Doctor Name: | MICHAEL ROBERT SUMMERS |
NPI Number: | 1578775060 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 1138840 |
Business Practice Address: | 9203 Cinnamon Hl San Antonio, TX - 782405450 |
Business Phone Number: | 2106910555 |
Business Fax Number: | |
Mailing Address: | 116 Valona Dr, CIBOLO |
State: | TX |
Postal Code: | 781084233 |
Phone Number: | 2105667426 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 1138840 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |