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Search › Texas › 363LF0000X

Trent Fackelman, FNP-C

NPI 1407466410 · on the registry since 2020

Practice

Address
8500 Village Dr Ste 202
San Antonio, TX 78217
Phone
(210) 957-1419
Fax
(210) 957-1697
Organisation at this address
Ljc Enterprises
Heroes Healthcare Pllc
Brookdale Alliance, Llc
Ursus Mobile Medical Pllc
Lone Star Pm & R Group, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
163W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas