Individual provider · Type 1 NPI
Richard Thornell Sr.
Family Nurse Practitioner · San Antonio, TX
NPI number
1104238450
Active
Practice location
11634 Purple Mint
San Antonio, TX 78245-3369
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP124687 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104238450
Richard Thornell Sr.'s National Provider Identifier is 1104238450, issued on May 21, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Antonio, TX. The record was last updated on Dec 13, 2018.