Organization
SOUTH TEXAS HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J MIKULECKY (BOARD MEMBER)
(713) 277-2208
Entity
Organization
Contact information
Practice address
1202 E SONTERRA BLVD, STE 302, SAN ANTONIO, TX 78258
(210) 615-1401
(210) 615-2258
Mailing address
1202 E SONTERRA BLVD, STE 302, SAN ANTONIO, TX 78258
(210) 615-1401
(210) 615-2258
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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