# ADVANCED CLINICIAN SPECIALTY GROUP PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1235660507
- **Authorized official:** JOSE A RAMOS ACNP-BC (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (210) 446-8021

## Contact information

- **Practice address:** 19338 BABCOCK RD UNIT 108109, SAN ANTONIO, TX 78255-2478
- **Practice address phone:** (210) 446-8021
- **Mailing address:** 17503 LA CANTERA PKWY, 104-409, SAN ANTONIO, TX 78257-8207
- **Mailing address phone:** (210) 446-8021
- **Mailing address fax:** (210) 579-6710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2017
- **Last updated:** 03/22/2022