Individual
MS. CALLIE NOVOSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15102 JONES MALTSBERGER ROAD, SAN ANTONIO, TX 78247
(210) 745-0084
(210) 745-0139
Mailing address
113 PLEASANT VALLEY DR, STE 210, BOERNE, TX 78006-5683
(830) 267-4575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1096725
TX
363AM0700X
Medical Physician Assistant
Primary
PA05399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208326303
—
TX
Enumeration date
02/10/2006
Last updated
04/20/2020
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