person
Casey Ryan Divin
Family Nurse Practitioner in San Antonio, Texas
NPI 1154835536

Casey Ryan Divin is a Family Nurse Practitioner based in San Antonio, TX and is specialized in Family. Casey Ryan Divin practices in San Antonio, TX. The NPI Number for Casey Ryan Divin is 1154835536 and holds a License No. AP135899 (Texas).

The current practice location address for Casey Ryan Divin is 5414 Fredericksburg Rd Ste 100A, San Antonio, TX and can be reached out via phone at 210-468-0800.

Location: 5414 Fredericksburg Rd Ste 100A, San Antonio, TX, 78258-7457
person
Provider Profile Details
NPI Number
1154835536
Provider Name
Casey Ryan Divin
Credential
Provider Entity Type
Individual
Gender
Male
Address
5414 Fredericksburg Rd Ste 100A, San Antonio, TX, 78258-7457
Phone Number
210-468-0800
Fax Number
Provider Enumeration Date
11/21/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5414 Fredericksburg Rd Ste 100A
City
State
Zip
78229-3641
Phone Number
210-468-0800
Fax Number
person
Provider Business Mailing Address Details
Address
5414 Fredericksburg Rd Ste 100A
City
State
Zip
78229-3641
Phone Number
210-468-0800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP135899 (Texas)
Definition
Definition to come...
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