Provider Demographics
NPI:1558166611
Name:ORNELAS, ERIC ABRAHAM (FNP-C)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:ABRAHAM
Last Name:ORNELAS
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10203 MESA MEDINA
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78252-4518
Mailing Address - Country:US
Mailing Address - Phone:623-703-7933
Mailing Address - Fax:
Practice Address - Street 1:10203 MESA MEDINA
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78252-4518
Practice Address - Country:US
Practice Address - Phone:623-703-7933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1039125163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse