Individual
MRS. KATHY LYNN HAGERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
221 3RD ST W, RANDOLPH AFB, TX 78150-4800
(210) 652-2543
Mailing address
23864 CIBOLO VW, SAN ANTONIO, TX 78266-1760
(210) 651-9682
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP116209
TX
Other
Enumeration date
09/13/2005
Last updated
04/06/2018
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