# STONE OAK ALLERGY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568711349
- **Authorized official:** MS. CANDICE KENNON (PRACTICE MGR)
- **Authorized official phone:** (512) 732-2774

## Contact information

- **Practice address:** 525 OAK CENTRE DR STE 110, SAN ANTONIO, TX 78258-3935
- **Practice address phone:** (210) 494-0690
- **Practice address fax:** (210) 494-0920
- **Mailing address:** 303 E MAIN ST, ROUND ROCK, TX 78664-5246
- **Mailing address phone:** (512) 732-2774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2012
- **Last updated:** 07/18/2023