MEDICARE: CLARICE ADAMS FNP-C

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	AP135124	TX

General Provider Information

NPI Number	:	1780193839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARICE ADAMS FNP-C

Provider Business Mailing Address
First Line	:	8700 CROWNHILL BLVD STE 206
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-1126
Country	:	US
Telephone Number	:	210-272-0106
Fax Number	:	210-272-0101

Provider Business Practice Location Address
First Line	:	8700 CROWNHILL BLVD STE 206
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-1126
Country	:	US
Telephone Number	:	210-272-0106
Fax Number	:	210-272-0101

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

Provider Enumeration Date	:	09/20/2017
Last Update Date	:	04/08/2026

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