Individual
STACY MARTYN GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A. -C
Contact information
Practice address
1380 PANTHEON WAY, SUITE 310, SAN ANTONIO, TX 78232-2288
(210) 404-9696
(210) 404-9466
Mailing address
402 BLUFFCOURT, SAN ANTONIO, TX 78216-1907
(210) 378-5555
(210) 378-5555
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
TX
Other
Enumeration date
08/05/2011
Last updated
07/26/2013
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