# BLACK NURSES ROCK SAN ANTONIO CHAPTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BLACK NURSES ROCK
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548711310
- **Legal business name:** BLACK NURSES ROCK
- **Authorized official:** MRS. CHARLOTTE DAVIS LPN (CEO /PRESIDENT)
- **Authorized official phone:** (830) 480-3616

## Contact information

- **Practice address:** 9014 SUMMIT LK, SAN ANTONIO, TX 78245-1843
- **Practice address phone:** (830) 480-3616
- **Mailing address:** 9014 SUMMIT LK, SAN ANTONIO, TX 78245-1843
- **Mailing address phone:** (830) 480-3616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | NULL | Yes |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2016
- **Last updated:** 10/17/2016