# NEXXUS LEVEL PRIMARY CARE & VETERAN ADVOCATE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053103010
- **Authorized official:** MS. CONSTANCE HENRY AGPC (NP-C)
- **Authorized official phone:** (210) 286-0961

## Contact information

- **Practice address:** 11201 DENAE DR, SAN ANTONIO, TX 78233-5487
- **Practice address phone:** (210) 286-0961
- **Mailing address:** 11201 DENAE DR, SAN ANTONIO, TX 78233-5487
- **Mailing address phone:** (210) 286-0961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202C00000X | Independent Medical Examiner Physician | — | NULL | — |
| 202C00000X | Independent Medical Examiner Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/17/2025
- **Last updated:** 05/20/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1639839277 | — | TX |
