Individual
SUZANNE PERAKATHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
7122 STONEWALL HILL, SAN ANTONIO, TX 78256
(210) 404-9696
Mailing address
7122 STONEWALL HILL, SAN ANTONIO, TX 78256
(210) 404-9696
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP140293
TX
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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