Doctor Name: | ERIN LYNN PASSAILAIGUE |
NPI Number: | 1053700716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | AP126276 |
Business Practice Address: | 16977 Interstate 35 N Schertz, TX - 781541225 |
Business Phone Number: | 2105728400 |
Business Fax Number: | |
Mailing Address: | 16414 San Pedro Ave, SAN ANTONIO |
State: | TX |
Postal Code: | 782322277 |
Phone Number: | 2104959860 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2015 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP126276 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |