MEDICARE: LETHIA MCNAIR

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	146N00000X	Basic Emergency Medical Technician	1795006	TX
2	164W00000X	Licensed Practical Nurse	197893	TX

General Provider Information

NPI Number	:	1851537575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LETHIA MCNAIR

Provider Business Mailing Address
First Line	:	4942 MESA BONITA
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78218-2755
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4942 MESA BONITA
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78218-2755
Country	:	US
Telephone Number	:	210-836-7341
Fax Number	:

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

Provider Enumeration Date	:	12/30/2008
Last Update Date	:	12/30/2008

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Directions to “ LETHIA MCNAIR ” Practice Location

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