Provider Demographics
NPI:1659600641
Name:GARCIA-FRAUSTO, ERICA (RN, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:
Last Name:GARCIA-FRAUSTO
Suffix:
Gender:F
Credentials:RN, CPNP
Other - Prefix:
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Mailing Address - Street 1:8109 FREDERICKSBURG RD
Mailing Address - Street 2:PHYSICIAN PRACTICE SERVICES
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3311
Mailing Address - Country:US
Mailing Address - Phone:210-575-8425
Mailing Address - Fax:210-575-8004
Practice Address - Street 1:4410 MEDICAL DR
Practice Address - Street 2:SUITE 550
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6306
Practice Address - Country:US
Practice Address - Phone:210-575-3817
Practice Address - Fax:210-575-4113
Is Sole Proprietor?:No
Enumeration Date:2009-12-22
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP118289363LP0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX210431704Medicaid
TX8939UKOtherBCBS
TX210431702OtherCSHCN