Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bo Lee Self-Gilbert

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1760336630

Bo Lee Self-Gilbert is a Nurse Practitioner in San Antonio, Texas. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2026

Practice location Address checks out

10807 Perrin Beitel Rd Ste 300
San Antonio, TX 78217-3144
Phone: (210) 245-7862
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1087965 (TX)

Record details

NPI number1760336630
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 25, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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