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NPI 1306642962 · Licensed Practical Nurse · San Antonio, TX
Provider details
- NPI number
- 1306642962
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 201761 (TX)
Practice location
7400 Merton Minter St
San Antonio, TX 78229-4404
Phone: (210) 617-5300
Mailing address
5610 James Trace Dr
San Antonio, TX 78253-7498
Registry dates
- Enumerated
- 2025-02-24
- Last updated
- 2025-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.