Odette Denisa Farias ACNP

NPI 1174867873 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1174867873
Gender Female
Enumeration Date 11/19/2012
Last Updated 01/07/2016
Entity Type Individual
Active Over 4 years ago
Practice Location
215 E. QUINCY,
SUITE 427
SAN ANTONIO TX, 78215, US
Phone (210) 223-7500
Fax (210) 223-9075
Business Location
215 E. QUINCY,
SUITE 427
SAN ANTONIO TX, 78215, US
Phone (210) 223-7500
Fax (210) 223-9075
Toxanomy
Taxonomy Code 363LA2100X
License State Texas
License Number 681337
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According to our database, Odette Denisa Farias ACNP NPI is 1174867873, taxonomy code is 363LA2100X and license number is 681337, license state is located at Texas. Odette Denisa Farias ACNP physically located at 215 E. Quincy,, San Antonio TX, 78215. NPI Number Odette Denisa Farias ACNP has the Individual type.

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1174867873 NPI number is provided on an as is basis without warranty of any kind. 1174867873 is maintained by the National Plan & Provider Enumeration System. The contents of Odette Denisa Farias ACNP are for informational purposes only.