Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Neonatal
Enumerated
Mar 8, 2024
License(s)
881599 (TX), 1156969 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 5430 FREDERICKSBURG RD STE 508 | San Antonio, TX 78229-3561 | 210-541-8281 |
| LOCATION | 5430 FREDERICKSBURG RD STE 508 | San Antonio, TX 78229-3561 | 210-541-8281 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.