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Individual

MR. MICAH JOEL YZAGUIRRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACNPC-AG

Contact information

Practice address
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229-3748
(210) 690-7400
Mailing address
148 FABARM LN, NEW BRAUNFELS, TX 78130-5178
(210) 317-5024

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1190385
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
1190385
TX

Other

Enumeration date
09/11/2025
Last updated
09/11/2025
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