Individual
JASMIN PUA VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
16620 SAN PEDRO AVE, SAN ANTONIO, TX 78232-2327
(210) 309-1405
Mailing address
15820 CASSIANO RD, ELMENDORF, TX 78112-9774
(210) 363-7580
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP139976
TX
Other
Enumeration date
06/23/2020
Last updated
02/22/2023
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