Individual
SUSANA PATRICIA JUAREZ-LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNA PHD
Contact information
Practice address
8535 TOM SLICK, SAN ANTONIO, TX 78229-3367
(210) 616-0300
Mailing address
210 SWEETHEART CRK, HELOTES, TX 78023-2511
(830) 535-4850
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
224336
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
224336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117962407
—
TX
Enumeration date
06/07/2006
Last updated
02/23/2022
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