Healthcare Provider Details

I. General information

NPI: 1598929051
Provider Name (Legal Business Name): YOLANDA MAGANA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2008
Last Update Date: 10/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 W BEN WHITE BLVD BLDG A SUITE 100
AUSTIN TX
78704-7034
US

IV. Provider business mailing address

8637 FREDERICKSBURG RD SUITE 360
SAN ANTONIO TX
78240-1219
US

V. Phone/Fax

Practice location:
  • Phone: 512-442-1996
  • Fax: 512-441-1093
Mailing address:
  • Phone: 512-442-1996
  • Fax: 512-441-1093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number555022
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: