Individual
CHARLES STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
720 PLEASANTON RD, SAN ANTONIO, TX 78214-1306
(210) 921-3800
Mailing address
720 PLEASANTON RD, SAN ANTONIO, TX 78214-1306
(210) 921-3800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08096
TX
Other
Enumeration date
12/19/2006
Last updated
06/24/2016
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