Provider Demographics
NPI:1992325682
Name:PAZ, FRANCISCA (APRN)
Entity type:Individual
Prefix:
First Name:FRANCISCA
Middle Name:
Last Name:PAZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:FRANCISCA
Other - Middle Name:
Other - Last Name:PAZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:4411 MEDICAL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3824
Mailing Address - Country:US
Mailing Address - Phone:210-614-5400
Mailing Address - Fax:210-692-1386
Practice Address - Street 1:4458 MEDICAL DR STE 640
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3700
Practice Address - Country:US
Practice Address - Phone:210-614-5400
Practice Address - Fax:210-616-0336
Is Sole Proprietor?:No
Enumeration Date:2020-04-22
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1004386363LF0000X
TX1004836363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX657935Medicaid