Individual
BROOKE BOUNDS MINIHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2829 BABCOCK RD, SAN ANTONIO, TX 78229-6028
(210) 951-9055
Mailing address
2829 BABCOCK RD STE 106, SAN ANTONIO, TX 78229-6009
(210) 951-9055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
718760
TX
363LF0000X
Family Nurse Practitioner
Primary
1095939
TX
Other
Enumeration date
03/26/2021
Last updated
10/12/2023
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