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NPI Code Detail

MEDICARE: MR. NATHANIEL GERARDO CERVANTES FNP-C, PMHNP

MEDICARE:  MR. NATHANIEL GERARDO CERVANTES  FNP-C, PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP129275TX
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP129275TX

General Provider Information

NPI Number : 1003287301
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NATHANIEL GERARDO CERVANTES FNP-C, PMHNP
Provider Business Mailing Address
First Line : 6806 SABINAL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78252-4450
Country : US
Telephone Number : 956-371-2007
Fax Number :
Provider Business Practice Location Address
First Line : 2515 CASTROVILLE RD STE 1
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78237-3361
Country : US
Telephone Number : 210-290-8350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2015
Last Update Date : 07/30/2025

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Directions to “ MR. NATHANIEL GERARDO CERVANTES FNP-C, PMHNP” Practice Location

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