Individual
SUSAN MARIE LARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229
(210) 325-6786
Mailing address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 949-3850
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
634246
TX
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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