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NPI Code Detail

MEDICARE: MRS. LALI GEORGE

MEDICARE: MRS. LALI GEORGE
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
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse884121TX
2363LF0000XFamily Nurse Practitioner1059952TX
3164X00000XLicensed Vocational Nurse230764TX
4363LP0808XPsychiatric/Mental Health Nurse Practitioner1059952TX

General Provider Information

NPI Number : 1265282941
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LALI GEORGE
Provider Business Mailing Address
First Line : 10615 WELSH VLY
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78254-5953
Country : US
Telephone Number : 210-633-7060
Fax Number :
Provider Business Practice Location Address
First Line : 7400 MERTON MINTER ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4404
Country : US
Telephone Number : 210-617-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2024
Last Update Date : 04/13/2026

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Directions to “ MRS. LALI GEORGE ” Practice Location

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