Healthcare Provider Details

I. General information

NPI: 1265282941
Provider Name (Legal Business Name): MRS. LALI GEORGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10807 PERRIN BEITEL RD STE 300
SAN ANTONIO TX
78217-3144
US

IV. Provider business mailing address

10615 WELSH VLY
SAN ANTONIO TX
78254-5953
US

V. Phone/Fax

Practice location:
  • Phone: 210-245-7862
  • Fax:
Mailing address:
  • Phone: 210-633-7060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1059952
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1059952
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: