Individual
REBECCA CARREON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP, PMHNP-C
Contact information
Practice address
1920 BURNET ST, SAN ANTONIO, TX 78202-2517
(210) 261-1250
(210) 227-7059
Mailing address
6800 PARK TEN BLVD STE 200S, SAN ANTONIO, TX 78213-4293
(210) 261-1000
(210) 261-1821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
547032
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP108761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042510005
—
TX
Enumeration date
08/24/2006
Last updated
04/10/2023
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