Organization · NPI-2

Affinity Healthcare And Wellness

Nurse Practitioner, Primary Care · San Antonio, TX

NPI number1164085650

StatusActive

Last updated in NPPESApr 19, 2019

Details

NPI: 1164085650
Entity type: Organization (NPI-2)
Legal business name: Affinity Healthcare And Wellness
Organization subpart: No
Enumeration date: Apr 19, 2019
Last updated: Apr 19, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP2300X	Nurse Practitioner, Primary Care	–	–	Yes
163WC0400X	Registered Nurse, Case Management	–	–
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–
133V00000X	Dietitian, Registered	–	–

Practice location

8902 Breanna Oaks
San Antonio, TX 78254-5703

Phone 210-573-7683

Mailing address

8902 Breanna Oaks
San Antonio, TX 78254-5703

Phone 210-573-7683

Authorized official

Jose A. Barrios
Administrator
2105737683

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