Individual
STEPHANIE ANNE AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
5439 RAY ELLISON BLVD, SAN ANTONIO, TX 78242-2219
(210) 922-7000
(210) 457-3390
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 922-7000
(210) 924-1374
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1033449
TX
Other
Enumeration date
07/15/2021
Last updated
02/21/2023
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