Individual
MEGAN ELLESE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9153 HUEBNER RD, SAN ANTONIO, TX 78240-1502
(210) 962-5709
Mailing address
286 COUNTY ROAD 4636, HONDO, TX 78861-5808
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1180780
TX
363LA2100X
Acute Care Nurse Practitioner
1180780
TX
Other
Enumeration date
12/05/2024
Last updated
02/10/2025
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