Individual
DIOSA FAITH TAN MADERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
6514 BABCOCK TER, SAN ANTONIO, TX 78249-3577
(773) 899-5321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
934900
TX
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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