Individual
BRENDA TOMASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
16306 BUENA TIERRA ST, SAN ANTONIO, TX 78232-2542
(210) 602-1605
Mailing address
16306 BUENA TIERRA ST, SAN ANTONIO, TX 78232-2542
(210) 602-1605
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1058629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1058629
TEXAS BOARD OF NURSING
TX
Enumeration date
03/03/2022
Last updated
06/15/2023
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