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NPI Code Detail

MEDICARE: CHRISTINA A. INCLAN PMHNP

MEDICARE: CHRISTINA A. INCLAN 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
1363L00000XNurse Practitioner10368TX
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP119196TX
3363LP0808XPsychiatric/Mental Health Nurse Practitioner209027980IL
4363LP0808XPsychiatric/Mental Health Nurse Practitioner683709TX

General Provider Information

NPI Number : 1336454909
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA A. INCLAN PMHNP
Provider Business Mailing Address
First Line : 14802 JONES MALTSBERGER RD STE 1201
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78247-3571
Country : US
Telephone Number : 210-791-6755
Fax Number : 210-946-1889
Provider Business Practice Location Address
First Line : 14802 JONES MALTSBERGER RD STE 1201
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78247-3571
Country : US
Telephone Number : 210-791-6755
Fax Number : 210-946-1889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2010
Last Update Date : 04/16/2026

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