Provider Demographics
NPI:1770351744
Name:LABIS, PURA ALMA DINGAL (FNP)
Entity type:Individual
Prefix:
First Name:PURA ALMA
Middle Name:DINGAL
Last Name:LABIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20503 CREEK RIV
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2083
Mailing Address - Country:US
Mailing Address - Phone:410-537-0261
Mailing Address - Fax:
Practice Address - Street 1:20503 CREEK RIV
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-2083
Practice Address - Country:US
Practice Address - Phone:410-537-0261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1114793363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily