Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 1030118 | TX |
NPI | 1003409764 |
---|---|
Provider Name | Miss Almina Vastani |
First Address | San Antonio, TX 78258-3500 |
Second Address | San Antonio, TX 78229-4402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2021 |
Last Update Date | 14/02/2021 |