Healthcare Provider Details
I. General information
NPI: 1912471178
Provider Name (Legal Business Name): HEATHER CAPREE FLUGEL FNP-C, RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/21/2019
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2829 BABCOCK RD STE 106
SAN ANTONIO TX
78229-6009
US
IV. Provider business mailing address
966 DEEP WATER DR
SPRING BRANCH TX
78070-5874
US
V. Phone/Fax
- Phone: 210-951-9055
- Fax:
- Phone: 325-660-8535
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WR0006X |
| Taxonomy | Registered Nurse First Assistant |
| License Number | 765639 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 1102158 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 1102158 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: