Individual
BLAIR MARANDA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-2011
Mailing address
2159 GRUENE RD, NEW BRAUNFELS, TX 78130-3302
(817) 791-1962
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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