Individual
HIRUT MESELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT/GERONTOLOGY NP
Contact information
Practice address
512 E HIGHLAND BLVD STE 150, SAN ANTONIO, TX 78210
(210) 207-8152
(210) 207-2116
Mailing address
512 E HIGHLAND BLVD STE 150, SAN ANTONIO, TX 78210-3521
(210) 207-8152
(210) 207-4922
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP137987
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP137987
APRN
TX
Enumeration date
07/12/2018
Last updated
07/20/2018
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