Healthcare Provider Details
I. General information
NPI: 1285739102
Provider Name (Legal Business Name): KAREN GAIL BRENZ APRN, CNS-P/MH,CHTP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/14/2006
Last Update Date: 07/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9480 HUEBNER RD STE 210
SAN ANTONIO TX
78240-1657
US
IV. Provider business mailing address
13051 HUNTERS BREEZE ST
SAN ANTONIO TX
78230-2822
US
V. Phone/Fax
- Phone: 210-575-0508
- Fax: 210-575-0327
- Phone: 210-493-5493
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364SP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | 558068 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: