Individual
ISABELLA RENE NOVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229-3748
(210) 690-7400
(210) 690-7405
Mailing address
117 E CASTLE LN, SAN ANTONIO, TX 78213-1802
(210) 563-5557
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1170303
TX
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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