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Individual

MARITZA TIJERINA DUNCAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-BC

Contact information

Practice address
10007 HUEBNER RD BLDG 4, STE 402, SAN ANTONIO, TX 78240-7824
(210) 692-0361
(210) 593-4066
Mailing address
10007 HUEBNER RD STE 402, SAN ANTONIO, TX 78240-1640
(210) 692-0361
(210) 692-0151

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
698646
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1O7633
MEDICARE
TX
Enumeration date
09/18/2010
Last updated
05/17/2021
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