Organization
ENCINO PARK FAMILY HEALTH & WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LEAL FNP-C (OWNER)
(210) 568-5816
Entity
Organization
Contact information
Practice address
13423 BLANCO RD # 8046, SAN ANTONIO, TX 78216-2187
(210) 568-5816
(210) 399-4637
Mailing address
PO BOX 53666, MIDLAND, TX 79710-3666
(210) 568-5816
(210) 399-4637
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/23/2019
Last updated
09/22/2020
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