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Organization
STONE OAK ALLERGY PA
Active
Organization
STONE OAK ALLERGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CANDICE KENNON (PRACTICE MGR)
(512) 732-2774
Entity
Organization
Contact information
Practice address
525 OAK CENTRE DR STE 110, SAN ANTONIO, TX 78258-3935
(210) 494-0690
(210) 494-0920
Mailing address
303 E MAIN ST, ROUND ROCK, TX 78664-5246
(512) 732-2774
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
07/18/2023
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