Kathleen Marie Velasquez Calara, FNP-BC
Nurse Practitioner, Family in San Antonio, TX. Individual provider (NPI-1).
NPI number1982204731
StatusActive
Last updated in NPPESJul 31, 2023
Details
- NPI
- 1982204731
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Marie Velasquez Calara
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2020
- Certification date
- Jul 31, 2023
- Last updated
- Jul 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP145959 | TX | Yes |
| 163W00000X | Registered Nurse | 831425 | TX |
Practice location
6570 Ingram RdSan Antonio, TX 78238-3900
Phone 210-520-5588 · Fax 210-522-1125
Mailing address
2326 York BndSan Antonio, TX 78245-4417
Phone 210-787-6377
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