Individual
MRS. JENNIFER VEGA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2833 BABCOCK RD, SAN ANTONIO, TX 78229-5390
(210) 705-6300
Mailing address
5224 75TH ST STE D, LUBBOCK, TX 79424-2525
(806) 712-1096
(806) 771-2093
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1002202
TX
363LG0600X
Gerontology Nurse Practitioner
1002202
TX
Other
Enumeration date
07/30/2020
Last updated
10/01/2024
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