Provider Demographics
NPI:1396704953
Name:FALKENBERG, MARIA C (WHCNP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:C
Last Name:FALKENBERG
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:MC7836
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-567-5009
Mailing Address - Fax:210-567-5062
Practice Address - Street 1:527 N LEONA ST
Practice Address - Street 2:MS 49-2
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3110
Practice Address - Country:US
Practice Address - Phone:210-358-3401
Practice Address - Fax:210-358-3664
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX231732363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121597201Medicaid
TXS54978Medicare UPIN
TX83N244Medicare ID - Type Unspecified