Individual
BEVERLY KRUSE ORSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
1138 PEG OAK, SAN ANTONIO, TX 78258-3647
(210) 617-5300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
558950
TX
163WD0400X
Diabetes Educator Registered Nurse
558950
TX
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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