COLLINS O IDIEGBE

SAN ANTONIO, TX
NPI1073940557
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  751397)
Enumeration Date2013-09-30
Last Update Date2013-09-30
Business Address
-- COLLINS O IDIEGBE ACNP
4411 MEDICAL DR 300
SAN ANTONIO, TX 78229-3822
Phone number: 210-614-5400
Mailing Address
-- COLLINS O IDIEGBE ACNP
4411 MEDICAL DR 300
SAN ANTONIO, TX 78229-3822
Phone number: 210-614-5400
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