Individual
CHARDONNAY H PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10447 TX-151, SAN ANTONIO, TX 78251
(210) 616-5385
Mailing address
39 LATROBE POST, SAN ANTONIO, TX 78240-5240
(281) 851-6029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16555
TX
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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