Provider Demographics
NPI:1285739102
Name:BRENZ, KAREN GAIL (APRN, CNS-P/MH,CHTP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:GAIL
Last Name:BRENZ
Suffix:
Gender:F
Credentials:APRN, CNS-P/MH,CHTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:13051 HUNTERS BREEZE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2822
Mailing Address - Country:US
Mailing Address - Phone:210-493-5493
Mailing Address - Fax:
Practice Address - Street 1:9480 HUEBNER RD
Practice Address - Street 2:STE 210
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1657
Practice Address - Country:US
Practice Address - Phone:210-575-0508
Practice Address - Fax:210-575-0327
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX558068364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNPN000834Medicaid
TXNPN000834Medicaid
S65203Medicare UPIN