Individual
GRETCHANN N CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 617-5256
(210) 949-3006
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 617-5256
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328789802
—
TX
Enumeration date
11/07/2013
Last updated
05/28/2015
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