Individual
MRS. ANDREA LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC
Contact information
Practice address
4499 MEDICAL DR STE 166, SAN ANTONIO, TX 78229-3771
(855) 574-4195
Mailing address
4499 MEDICAL DR STE 166, SAN ANTONIO, TX 78229-3771
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP141379
TX
363LA2100X
Acute Care Nurse Practitioner
AP141379
TX
Other
Enumeration date
05/24/2019
Last updated
08/02/2019
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