Individual
AUGUSTINE ENRIQUE CONEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACAGNP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 358-4775
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP139413
TX
363LG0600X
Gerontology Nurse Practitioner
AP139413
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394266601
—
TX
01
—
394266602
CSHCN
TX
Enumeration date
12/16/2018
Last updated
01/05/2026
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