Search › Texas › 363L00000X
Michelle Self
NPI 1669086377 · on the registry since 2020
Practice
- Address
- 12500 Judson Rd Ste 210
Live Oak, TX 78233 - Phone
- (210) 878-0090
- Organisation at this address
- Virtuosa, Pllc
Sports Medicine Associates Of San Antonio, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 9140 Guilbeau Rd, San Antonio, TX
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LX0001X
363LF0000X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas