Individual
MRS. JUDITH M SPEAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3851 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4501
(210) 916-7893
Mailing address
85 CHAMPIONS LN, SAN ANTONIO, TX 78257-1281
(210) 289-5556
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04126
TX
Other
Enumeration date
11/01/2005
Last updated
05/15/2012
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