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Individual

JOSHUA M. NOVOTNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1209 S SAINT MARYS ST STE 231, SAN ANTONIO, TX 78210-1245
(210) 980-4767
Mailing address
105 CRIMSON TREE, CIBOLO, TX 78108-4325
(210) 980-4767
(210) 855-6004

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
948740
TX
163WH0200X
Home Health Registered Nurse
111849
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
1111849
TX
208600000X
Surgery Physician
1111849
TX
363LG0600X
Gerontology Nurse Practitioner
1111849
TX

Other

Enumeration date
02/06/2023
Last updated
05/14/2025
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