Individual
MS. CANDICE PEHL BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8700 CROWNHILL BLVD STE 300, SAN ANTONIO, TX 78209-1128
(210) 824-5530
Mailing address
8700 CROWNHILL BLVD STE 300, SAN ANTONIO, TX 78209-1128
(210) 824-5530
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
170825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170825
NURSING LICENCE
TX
Enumeration date
11/12/2019
Last updated
11/12/2019
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