Healthcare Provider Details

I. General information

NPI: 1407760952
Provider Name (Legal Business Name): ISAI ALMARALES VASCONCELOS FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5245 WALZEM RD
WINDCREST TX
78218-2122
US

IV. Provider business mailing address

7810 VAN NESS
SAN ANTONIO TX
78251-2108
US

V. Phone/Fax

Practice location:
  • Phone: 210-654-9700
  • Fax: 210-660-1414
Mailing address:
  • Phone: 210-719-9254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1178414
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: