Individual
PETER JEROME TORCIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7122 STONEWALL HILL, SAN ANTONIO, TX 78256
(210) 404-9696
(210) 404-9466
Mailing address
7122 STONEWALL HILL, SAN ANTONIO, TX 78256
(210) 404-9696
(210) 404-9466
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1034917
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
Other
Enumeration date
08/07/2020
Last updated
09/01/2021
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