Individual
KATHLEEN FANNING LEIBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-AC
Contact information
Practice address
8401 DATAPOINT DR, SUITE 500, SAN ANTONIO, TX 78229-5900
(210) 614-0180
(210) 566-5698
Mailing address
8401 DATAPOINT DR, SUITE 500, SAN ANTONIO, TX 78229-5900
(210) 614-0180
(210) 566-5698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
740903
TX
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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