Individual
MARY GADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 NE LOOP 410 STE 101, SAN ANTONIO, TX 78217-4840
(102) 832-5081
Mailing address
2700 NE LOOP 410 STE 101, SAN ANTONIO, TX 78217-4840
(210) 832-5035
(866) 332-3252
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
672293
TX
171M00000X
Case Manager/Care Coordinator
Primary
672293
TX
Other
Enumeration date
03/30/2022
Last updated
11/08/2023
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