Individual
VIOLET A COPADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236
(210) 292-8867
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-8703
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP120888
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296671501
—
TX
01
—
296671502
MEDICAID - CSHCN
TX
01
—
879N28
BCBS
TX
01
—
P01149188
MEDICARE RAILROAD
—
Enumeration date
02/24/2012
Last updated
08/09/2023
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