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Individual

MARY PHYLINDA REDEKER MCDANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PNP-BC

Contact information

Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-2190
Mailing address
5738 THUNDER OAKS, SAN ANTONIO, TX 78261
(210) 737-8555

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
699906
TX

Other

Enumeration date
09/12/2012
Last updated
05/18/2019
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