Healthcare Provider Details

I. General information

NPI: 1669393435
Provider Name (Legal Business Name): NANCY G URZUA ALBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18568 FORTY SIX PKWY STE 1001
SPRING BRANCH TX
78070-6878
US

IV. Provider business mailing address

29 SULFUR CYN
SAN ANTONIO TX
78247-3307
US

V. Phone/Fax

Practice location:
  • Phone: 830-438-9300
  • Fax:
Mailing address:
  • Phone: 941-203-9781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1827
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: