Provider Demographics
NPI:1316937253
Name:COWART, INELLA P (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MS
First Name:INELLA
Middle Name:P
Last Name:COWART
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Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:15823 LOMITA SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-5608
Mailing Address - Country:US
Mailing Address - Phone:210-916-4473
Mailing Address - Fax:210-916-5557
Practice Address - Street 1:3851 ROGER BROOKE DR
Practice Address - Street 2:
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4501
Practice Address - Country:US
Practice Address - Phone:210-916-5337
Practice Address - Fax:210-916-5557
Is Sole Proprietor?:No
Enumeration Date:2005-10-23
Last Update Date:2013-11-04
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Provider Licenses
StateLicense IDTaxonomies
TX613012363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health