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Individual

MRS. TEENA C CHINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
23119 W INTERSTATE 10 BLDG 904, SAN ANTONIO, TX 78257-1764
(210) 573-1220
Mailing address
7515 CLOS DU BOIS, SAN ANTONIO, TX 78253-4888
(210) 573-1220

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1060084
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
01/28/2022
Last updated
01/28/2022
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