Organization · Type 2 NPI
Star Rise Primary Care PLLC
Adult Health Nurse Practitioner · San Antonio, TX
NPI number
1366351124
Active
Practice location
10202 Ryder Bnd
San Antonio, TX 78254-4877
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1366351124
Star Rise Primary Care PLLC's National Provider Identifier is 1366351124, issued on Sep 5, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in San Antonio, TX. The record was last updated on Sep 5, 2026.