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

Golden Eagle

Individual provider Pediatric Nurse Practitioner · NPI 1487024279

Golden Eagle is a Pediatric Nurse Practitioner in San Antonio, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2015
Specialties on file
4

Practice location Address checks out

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone: (210) 704-3030
Show map & directions

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

Additional practice locations (1)

  • 9002 Culebra Rd, San Antonio, TX 78251-2873 — (210) 437-3990

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP129167 (TX)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence AP129167 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 777367 (TX)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 777367 (TX)

Record details

NPI number1487024279
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 6, 2015
Last updated in NPPESMarch 8, 2024
Certification dateMarch 8, 2024

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