Individual
MR. TRISTAN SEAN SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
7710 W IH 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Mailing address
7710 W IH 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
00000000000
TX
376K00000X
Nurse's Aide
Primary
—
TX
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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