Stone Oak South Texas Center for Pediatric Care
NPI #1205904083 in San Antonio, Texas
Provider Information
- NPI Number
- 1205904083
- Entity Type
- Organization
- Organization Name
- Stone Oak South Texas Center for Pediatric Care
- Primary Specialty
- Pediatrics
- Enumeration Date
- Dec 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 123 STONE OAK LOOP
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78258-3391
- Phone
- (210) 576-0533
Authorized Official
- Name
- LISA M DALUZ
- Title
- CREDENTIALING MANAGER
- Phone
- (210) 576-0533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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