Individual
IRENE G SANDATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229
(210) 358-4000
Mailing address
7703 FLOYD CURL DR # MC7977, SAN ANTONIO, TX 78229-3901
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP106994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029289805
—
TX
01
—
029289806
CSHCN
TX
05
—
029289807
—
TX
05
—
042524101
—
TX
Enumeration date
08/24/2006
Last updated
06/27/2018
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