Healthcare Provider Details

I. General information

NPI: 1053752899
Provider Name (Legal Business Name): JOSE FRANCISCO MUNOZ SABLAN JR. MSN ACNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2013
Last Update Date: 02/11/2021
Certification Date: 02/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8811 VILLAGE DR
SAN ANTONIO TX
78217-5415
US

IV. Provider business mailing address

11810 PRESIDIO PATH
SAN ANTONIO TX
78253-5675
US

V. Phone/Fax

Practice location:
  • Phone: 210-297-2820
  • Fax:
Mailing address:
  • Phone: 830-214-3972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number632635
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP124212
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: