Individual
DALISA KELLY BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7710 WEST I 10, SAN ANTONIO, TX 78230
(210) 377-3355
Mailing address
7710 WEST I 10, SAN ANTONIO, TX 78230
(210) 377-3355
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1014667
TX
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081598
HEALTH SHEILD
TX
Enumeration date
09/13/2019
Last updated
11/17/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us