Individual
MARY PHUBONG NKWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8535 TOM SLICK, SAN ANTONIO, TX 78229-3367
(210) 616-3900
Mailing address
5788 ECKHERT RD, SAN ANTONIO, TX 78240-3900
(210) 450-6450
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1093159
TX
Other
Enumeration date
08/01/2022
Last updated
05/07/2024
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