Individual provider · Type 1 NPI

Blake Menchaca, AG-ACNP

Acute Care Nurse Practitioner · Houston, TX

NPI number 1699217547 Active

Practice location

6720 Bertner Ave
Houston, TX 77030-2604

Mailing address

21 Spurs Ln, Ste 230B
San Antonio, TX 78240-1669

Other practice locations

  • 21 Spurs Ln Ste 230B, San Antonio, TX 78240-1671 · (210) 690-7400

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Nurse Practitioner 363LC0200XAP132573 (TX)
Acute Care Nurse Practitioner Primary 363LA2100XAP132573 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1699217547

Blake Menchaca, AG-ACNP's National Provider Identifier is 1699217547, issued on Nov 9, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Houston, TX. The record was last updated on Oct 3, 2024.