Individual
GINA HURON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 S GENERAL MCMULLEN DR, SAN ANTONIO, TX 78237-2005
(210) 644-8500
(210) 644-8507
Mailing address
PO BOX 87, SAN ANTONIO, TX 78291-0087
(210) 358-9172
(210) 358-9183
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
738561
TX
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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