Individual
LEA ANN CARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4800 FREDERICKSBURG RD, STE 127, SAN ANTONIO, TX 78229-3628
(210) 733-5072
(210) 733-8649
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
639892
TX
363LF0000X
Family Nurse Practitioner
639892
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154710101
—
TX
Enumeration date
04/04/2008
Last updated
03/31/2014
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