Mark Longanilla
Registered Nurse, Critical Care Medicine in San Antonio, TX. Individual provider (NPI-1).
NPI number1619703303
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1619703303
- Entity type
- Individual (NPI-1)
- Name
- Mark Longanilla
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2024
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0200X | Registered Nurse, Critical Care Medicine | 983521 | TX | Yes |
Practice location
7400 Merton Minter StSan Antonio, TX 78229-4404
Phone 210-617-5300
Mailing address
7400 Merton Minter StSan Antonio, TX 78229-4404
Phone 210-617-5300
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