Individual
THERESA NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
6119 RIO OLMOS PASS, SAN ANTONIO, TX 78247-4454
(651) 245-4320
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
8123
MN
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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