MEDICARE: KARA BEISWANGER FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP142450	TX

General Provider Information

NPI Number	:	1841844834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA BEISWANGER FNP-C

Provider Business Mailing Address
First Line	:	3607 MILL MEADOW DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-3542
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 GALLERY CIR STE 108
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-3330
Country	:	US
Telephone Number	:	210-585-2335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2019
Last Update Date	:	07/28/2019

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Directions to “ KARA BEISWANGER FNP-C” Practice Location

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