Individual
ABBY DALE LAITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7622 LOUIS PASTEUR DR STE 201, SAN ANTONIO, TX 78229-4019
(210) 610-3859
(210) 641-2277
Mailing address
7622 LOUIS PASTEUR DR STE 201, SAN ANTONIO, TX 78229-4019
(210) 610-3859
(210) 641-2277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
915368
TX
363LF0000X
Family Nurse Practitioner
Primary
1018214
TX
Other
Enumeration date
07/24/2020
Last updated
09/22/2023
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