Individual
MS. KISKA V VARELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8401 DATAPOINT DR, SUITE 500, SAN ANTONIO, TX 78229-5900
(210) 614-0180
(210) 615-7170
Mailing address
PO BOX 1221, SAN ANTONIO, TX 78294-1221
(210) 614-0180
(210) 615-7170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
657173
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204361401
—
TX
01
—
8OON65
BCBSTX
TX
Enumeration date
05/15/2009
Last updated
03/10/2011
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