Individual
KRISTEN MARIE DE LA GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-1617
(210) 358-8529
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-1617
(210) 358-8529
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP139556
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393546201
—
TX
01
—
393546202
CSHCN
TX
Enumeration date
01/08/2019
Last updated
04/03/2020
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