Individual
GRACE SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2515 CASTROVILLE RD, SAN ANTONIO, TX 78237-3359
(210) 433-0366
Mailing address
421 BISON LN, CIBOLO, TX 78108-3823
(832) 381-7285
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
948664
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1131906
TX
Other
Enumeration date
11/15/2018
Last updated
01/12/2024
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