Individual
PATRICIA AMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-2590
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
553783
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161375401
—
TX
05
—
161375405
—
TX
01
—
66756
CIDC
—
Enumeration date
08/20/2006
Last updated
08/24/2016
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