Healthcare Provider Details

I. General information

NPI: 1720718786
Provider Name (Legal Business Name): NLUC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14211 POTRANCO RD STE 100
SAN ANTONIO TX
78253-2130
US

IV. Provider business mailing address

14211 POTRANCO RD STE 100
SAN ANTONIO TX
78253-2130
US

V. Phone/Fax

Practice location:
  • Phone: 281-783-8162
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIET S BREEZE
Title or Position: CEO
Credential:
Phone: 281-201-0657