Individual
PATRICIA LOUISE CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229
(210) 450-9000
(210) 450-4903
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 450-9000
(210) 450-4903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
938960
TX
163W00000X
Registered Nurse
RN9192219
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
AP137064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390404701
—
TX
01
—
390404702
CSHCN
TX
Enumeration date
04/26/2018
Last updated
12/14/2018
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