Organization · Type 2 NPI
Pediatric Heroes Primary Care Clinic, PLLC
Pediatric Nurse Practitioner · San Antonio, TX
NPI number
1790374932
Active
Practice location
21970 Bulverde Rd
San Antonio, TX 78259-2178
Mailing address
20403 Encino Ledge Unit 592625
San Antonio, TX 78259-0869
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in San Antonio
About NPI 1790374932
Pediatric Heroes Primary Care Clinic, PLLC's National Provider Identifier is 1790374932, issued on Jan 12, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Antonio, TX. The record was last updated on Jan 12, 2021.