Individual
DIVINA DIMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
7726 LOUIS PASTEUR DR, SAN ANTONIO, TX 78229-3402
(956) 337-9858
(210) 575-8499
Mailing address
8655 DATAPOINT DR # CONDO710, SAN ANTONIO, TX 78229-3260
(956) 337-9858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1150810
TX
Other
Enumeration date
01/23/2024
Last updated
09/03/2024
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