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Individual

MARY ELLEN TEHAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, CPNP-PC

Contact information

Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-2190
Mailing address
315 N SAN SABA STE 1135, SAN ANTONIO, TX 78207-3255
(210) 704-4580

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP139271
TX

Other

Enumeration date
11/07/2018
Last updated
10/13/2021
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