Individual
KRISTEN NICOLE MCCORQUODALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3320 OAKWELL CT, SAN ANTONIO, TX 78218-3128
(210) 829-5180
(210) 829-5030
Mailing address
3320 OAKWELL CT, SAN ANTONIO, TX 78218-3128
(210) 829-5180
(210) 829-5030
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12853
TX
Other
Enumeration date
07/18/2019
Last updated
03/05/2026
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