Individual
LAURA BURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6721 PARK HVN, SAN ANTONIO, TX 78244-2048
(210) 844-3768
Mailing address
6721 PARK HVN, SAN ANTONIO, TX 78244-2048
(210) 844-3768
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
500224
TX
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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