Individual
JIMMY DEE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 WILFORD HALL LOOP, SAN ANTONIO, TX 78236-5638
(210) 292-3866
Mailing address
1100 WILFORD HALL LOOP, SAN ANTONIO, TX 78236-5638
(210) 292-3866
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/30/2007
Last updated
08/26/2024
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