Individual
CARMEN NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
520 E EUCLID AVE, SAN ANTONIO, TX 78212-4414
(210) 581-2837
(210) 853-2718
Mailing address
1905 E STATE HIGHWAY 97, JOURDANTON, TX 78026-1504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1049992
TX
363LG0600X
Gerontology Nurse Practitioner
1049992
TX
Other
Enumeration date
08/11/2021
Last updated
08/23/2024
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