Individual
THERESE RIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
111 DALLAS ST, SAN ANTONIO, TX 78205-1201
(210) 495-9860
Mailing address
8401 DATAPOINT DR, SUITE 500, SAN ANTONIO, TX 78229-5900
(210) 614-0180
(210) 615-7170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
638809
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199157201
—
TX
05
—
199157202
—
TX
01
—
8Y9425
BCBSTX
TX
Enumeration date
12/01/2008
Last updated
09/17/2009
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