Trent J Fackelman, FNP-C is a family nurse practitioner in San Antonio, TX with 4 years of experience. Trent J Fackelman, FNP-C NPI is 1407466410. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8500 VILLAGE DR STE 202
SAN ANTONIO, TX
ZIP 78217-510
Phone: (210) 957-1419
Fax: (210) 957-1697
The NPI 1407466410 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/4/2020 and was last updated on 9/13/2022.