Individual
DANIELLE ANDREA STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-3710
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-3710
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2008-01632
NC
Other
Enumeration date
06/01/2007
Last updated
11/05/2019
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