Ms. Laura Lisa Cervantes
Nurse Practitioner - Pediatrics
5430 Fredericksburg Rd Ste 508
San Antonio
, Texas 78229-3561
Ms. Laura Lisa Cervantes
Nurse Practitioner - Pediatrics
5430 Fredericksburg Rd Ste 508
San Antonio
, Texas 78229-3561
(210) 541-9123
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Ms. Laura Lisa Cervantes
- 5430 Fredericksburg Rd Ste 508
- San Antonio, TX
- Zip : 78229-3561
- Fax : (210) 541-9123
- Phone : (210) 541-8281
Second Address
- Ms. Laura Lisa Cervantes
- 5430 Fredericksburg Rd Ste 508
- San Antonio, TX
- Zip : 78229-3561
- Phone : (210) 614-5539
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP138352 | TX |
National Provider Identifier
| NPI | 1023593456 |
|---|---|
| Provider Name | Ms. Laura Lisa Cervantes |
| First Address | San Antonio, TX 78229-3561 |
| Second Address | San Antonio, TX 78229-3561 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2018 |
| Last Update Date | 21/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.