NACOGDOCHES FAMILY CLINIC LLC is a family nurse practitioner in San Antonio, TX. NACOGDOCHES FAMILY CLINIC LLC NPI is 1942803341. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
12521 NACOGDOCHES RD STE 101
SAN ANTONIO, TX
ZIP 78217-117
Phone: (210) 634-7814
Fax: (210) 634-7815
The provider's authorized official is Yordanis Rafael Fonseca Vega .
The authorized official title is Owner and has the following contact phone number (512) 909-7332.
The CLIA number assigned to this NPI record is 45D2200583 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/18/2020 and was last updated on 11/18/2020.