Individual
MA LYNE MACARIO SONGCUYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
7503 HARVEST BAY, SAN ANTONIO, TX 78253-6697
(210) 307-7214
Mailing address
7503 HARVEST BAY, SAN ANTONIO, TX 78253-6697
(210) 307-7214
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1193707
TX
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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