JOHN BROOM RN
NPI 1194547547
Registered Nurse - Administrator in San Antonio, TX
Active since October 28, 2024
About John Broom Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN BROOM RN (NPI 1194547547) is an individual administrator provider in San Antonio, Texas, licensed in Texas (762251) and active in the NPI registry since October 2024.
NPPES Registry Identity
NPI1194547547
Entity TypeIndividualMale
Primary Taxonomy163WA2000X
Provider Legal NameJOHN BROOMCredential: RN
Location Address7400 MERTON MINTER STSan Antonio, TX 78229-4404
Mailing Address7400 Merton Minter StSan Antonio, TX 78229-4404
Phone(210) 540-4988
Sole ProprietorYes
Enumeration DateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1194547547 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in TX · 762251
7400 MERTON MINTER ST, San Antonio, TX 78229
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Internal Medicine (Geriatric Medicine)
7400 MERTON MINTER ST, GEC - MAIL CODE OOE
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
Internal Medicine (Endocrinology, Diabetes & Metabolism)
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
Psychiatry & Neurology (Psychiatry)
7400 MERTON MINTER ST, 116B
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
7400 MERTON MINTER ST, AUDIE L. MURPHY MEMORIAL VAH GASTROENTEROLOGY
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194547547, enumerated as an "individual" on October 28, 2024.
The provider is located at 7400 MERTON MINTER ST SAN ANTONIO, TX 78229 and the phone number is (210) 540-4988.
Registered Nurse with taxonomy code 163WA2000X and a focus in Administrator.