Johnny Mercado
Licensed Vocational Nurse in San Antonio, TX. Individual provider (NPI-1).
NPI number1669956645
StatusActive
Last updated in NPPESSep 17, 2018
Details
- NPI
- 1669956645
- Entity type
- Individual (NPI-1)
- Name
- Johnny Mercado
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2018
- Last updated
- Sep 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 200789 | TX | Yes |
Practice location
11124 Wurzbach Rd Ste 100San Antonio, TX 78230-2440
Phone 210-615-5242
Mailing address
11124 Wurzbach Rd Ste 100San Antonio, TX 78230-2440
Phone 210-615-5242
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