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BLACK DIAMOND MED SPA
NPI 1932585965
Nurse Practitioner - Family in San Antonio, TX

Active since July 31, 2015
18730 STONE OAK PKWY, STE 106, SAN ANTONIO, TX 78258(210) 403-2552(210) 403-2144 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Black Diamond Med Spa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK DIAMOND MED SPA (NPI 1932585965) is a healthcare organization registered as a family in San Antonio, Texas and active in the NPI registry since July 2015. The organization lists Jonas Crafts, Manager, as its authorized official.

NPPES Registry Identity

NPI1932585965
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBLACK DIAMOND MED SPA
Location Address18730 STONE OAK PKWY, STE 106San Antonio, TX 78258-4140
Mailing Address18730 Stone Oak Pkwy, Ste 106San Antonio, TX 78258-4140 · (210) 403-2552 · Fax (210) 403-2144
Phone(210) 403-2552
Fax(210) 403-2144
Organization SubpartNo
Authorized OfficialJonas CraftsManager · (210) 403-2552
Enumeration DateJuly 31, 2015
✔ NPI 1932585965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
18730 STONE OAK PKWY, San Antonio, TX 78258
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK ANTHONY PORTER D.D.S.
Dentist (General Practice)
18730 STONE OAK PKWY, SUITE 200
SAN ANTONIO, TX 78258
Bexar County (210) 495-7155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black Diamond Med Spa's NPI number?

The NPI number for Black Diamond Med Spa is 1932585965. It was assigned to this organization in the NPPES registry on July 31, 2015.

Where is Black Diamond Med Spa located?

Black Diamond Med Spa is located at 18730 Stone Oak Pkwy Ste 106, San Antonio, TX 78258. The listed phone number is (210) 403-2552.

What is Black Diamond Med Spa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Black Diamond Med Spa was last updated on July 31, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.