Healthcare Provider Details

I. General information

NPI: 1194247890
Provider Name (Legal Business Name): AMAREE J. TERRAZAS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2017
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18772 FORTY SIX PKWY BLDG 5
SPRING BRANCH TX
78070-2374
US

IV. Provider business mailing address

14100 SAN PEDRO AVE STE 200
SAN ANTONIO TX
78232-4362
US

V. Phone/Fax

Practice location:
  • Phone: 210-692-3636
  • Fax:
Mailing address:
  • Phone: 210-653-5501
  • Fax: 210-963-8138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number814775
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP134421
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: