Search › Texas › 122300000X
London Brazil
NPI 1649686239 · on the registry since 2014
Practice
- Address
- 819 Camden St
San Antonio, TX 78215 - Phone
- (409) 313-4789
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-07-03
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