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Organization
BLACK NURSES ROCK SAN ANTONIO CHAPTER
Active
Organization
BLACK NURSES ROCK SAN ANTONIO CHAPTER
Active
Parent organization
BLACK NURSES ROCK
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLACK NURSES ROCK
Authorized official
MRS. CHARLOTTE DAVIS LPN (CEO /PRESIDENT)
(830) 480-3616
Entity
Organization
Contact information
Practice address
9014 SUMMIT LK, SAN ANTONIO, TX 78245-1843
(830) 480-3616
Mailing address
9014 SUMMIT LK, SAN ANTONIO, TX 78245-1843
(830) 480-3616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
—
NULL
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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