Individual
BRIDGET DENNISE TEVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11111 WHISPERING WIND ST, SAN ANTONIO, TX 78230-3748
(210) 916-2460
Mailing address
11111 WHISPERING WIND ST, SAN ANTONIO, TX 78230-3748
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 50701
TX
Other
Enumeration date
04/23/2007
Last updated
06/10/2010
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