P Praxis·MD
● Active Type 1 · Individual

Surayyo Bobodzhanova, FNP-C

Nurse Practitioner·San Antonio, TX· NPI 1730450578 · Enumerated 2012 · 14 years on NPI
Bobodzhanova is 1 of 1395 nurse practitioner providers in San Antonio and 1 of 22123 in Texas.
NPI age
14 years
Enumerated 2012-01-25
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
TX, CA, NE
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-09-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
14 years
↑ 7 yr above median (7 yr)
State licenses
3 states
Top 94% — 5% of peers are multi-state
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-01Enumerated in NPPES
2012 2026

Where they practice

Practice location
7323 Marbach Rd Ste 104
San Antonio, TX 782271905
📞 2106740257fax 2103699064
Mailing address
7323 Marbach Rd Ste 104
San Antonio, TX 782271905
📞 2102312450fax 2102312557

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #AP145912 taxonomy 363LF0000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    CA license #789243NE license #69496 taxonomy 163W00000X

Identifiers

TypeValueNotes
01 (TX) 1730450578 INDIVIDUAL NPI
01 (TX) 0925166-01 TRADITIONAL MEDICAID GRP
01 (TX) 092566-02 MEDICAID EPSDT
01 (TX) AP145912 CERTIFIED NP LICENSE
01 (TX) 1508813494 GROUP PRACTICE NPI
01 (TX) 988977 REGISTERED NURSE LICENSE
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

Recently enumerated nearby: 31 new nurse practitioner providers have been added in San Antonio in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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