Provider Demographics
NPI:1275647679
Name:ALLEN, SYLVIA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 COMMERCIAL AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-3117
Mailing Address - Country:US
Mailing Address - Phone:210-922-7000
Mailing Address - Fax:210-977-7994
Practice Address - Street 1:7315 S. LOOP 1604 W.
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78069
Practice Address - Country:US
Practice Address - Phone:210-922-7000
Practice Address - Fax:210-977-7994
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX532539363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8N7694OtherBCBS
TX94564OtherCARELINK
TX170602001Medicaid
TX8N7694OtherBCBS