Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 1017248 | TX |
N | 363LA2200X | Nurse Practitioner - Adult Health | 1017248 | TX |
N | 363LG0600X | Nurse Practitioner - Gerontology | 1017248 | TX |
NPI | 1033718994 |
---|---|
Provider Name | Adam Mitchell Sahyouni |
First Address | San Antonio, TX 78229-3771 |
Second Address | San Antonio, TX 78229-3735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2020 |
Last Update Date | 28/10/2020 |