Individual
ALISA M GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
701 S ZARZAMORA ST, SAN ANTONIO, TX 78207
(210) 358-7578
(210) 358-7129
Mailing address
701 S ZARZAMORA ST, SAN ANTONIO, TX 78207-5209
(210) 358-7578
(210) 358-7129
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP122379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316477403
—
TX
01
—
316477404
CSHCN
TX
Enumeration date
03/08/2013
Last updated
12/06/2018
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