Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Micaby Medical, PLLC

Organization Nephrology Physician · NPI 1902422785

Micaby Medical, PLLC is a Nephrology Physician in San Antonio, Texas. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10730 Potranco Rd Ste 122-507
San Antonio, TX 78251-3327
Phone: (210) 858-7604
Fax: (210) 888-0383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1902422785
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hezekiah Sobamowo — President · (615) 397-0896
Other names Micaby Medical,Pllc; Micaby Medical,Pllc
NPI enumeratedJune 17, 2020
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020
Mailing address1222 McCullough Ave Ste 101, San Antonio, TX 78212-4812

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