Doctor Name: | MS. AMBER RENEE HOBERG |
NPI Number: | 1003122532 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FPMHNP-BC |
License Number: | 708221 |
Business Practice Address: | 7622 Louis Pasteur Dr Ste 100 San Antonio, TX - 782294037 |
Business Phone Number: | 2106147840 |
Business Fax Number: | 2105622252 |
Mailing Address: | 7005 Mira Loma Ln, Ste 102 AUSTIN |
State: | TX |
Postal Code: | 787231411 |
Phone Number: | 5123002455 |
Fax Number: | 8885032350 |
NPI Enumeration Date: | 08/21/2010 |
NPI Last Update Date: | 01/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 708221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |