Provider Demographics
NPI:1770028573
Name:NOVACK, JOSEPH J II (FNP-C)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:J
Last Name:NOVACK
Suffix:II
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 E CASTLE LN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1802
Mailing Address - Country:US
Mailing Address - Phone:210-488-8737
Mailing Address - Fax:
Practice Address - Street 1:6051 FM 3009 STE 210
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-3473
Practice Address - Country:US
Practice Address - Phone:210-299-7770
Practice Address - Fax:833-502-1747
Is Sole Proprietor?:No
Enumeration Date:2017-01-03
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132831363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily