MEDICARE: AMAREE J. TERRAZAS APRN

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
1	363LF0000X	Family Nurse Practitioner	814775	TX
2	363L00000X	Nurse Practitioner	AP134421	TX

General Provider Information

NPI Number	:	1194247890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMAREE J. TERRAZAS APRN

Provider Business Mailing Address
First Line	:	14100 SAN PEDRO AVE STE 200
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-4362
Country	:	US
Telephone Number	:	210-653-5501
Fax Number	:	210-963-8138

Provider Business Practice Location Address
First Line	:	18772 FORTY SIX PKWY BLDG 5
Second Line	:
City	:	SPRING BRANCH
State	:	TX
Zip	:	78070-2374
Country	:	US
Telephone Number	:	210-692-3636
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2017
Last Update Date	:	04/15/2026

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