Provider Demographics
NPI:1891266151
Name:PARTNERS IN PROVIDER SERVICES PLLC
Entity Type:Organization
Organization Name:PARTNERS IN PROVIDER SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CERVANTES
Authorized Official - Suffix:
Authorized Official - Credentials:DNP,FNP-C
Authorized Official - Phone:956-371-2007
Mailing Address - Street 1:98 BRIGGS ST STE 900B
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1289
Mailing Address - Country:US
Mailing Address - Phone:210-927-1472
Mailing Address - Fax:210-921-1212
Practice Address - Street 1:98 BRIGGS ST STE 900B
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1289
Practice Address - Country:US
Practice Address - Phone:210-927-1472
Practice Address - Fax:210-921-1212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty