Individual
ALICIA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8715 VILLAGE DR, SUITE#514, SAN ANTONIO, TX 78217-5405
(210) 637-0641
(210) 637-0613
Mailing address
8715 VILLAGE DR, SUITE#514, SAN ANTONIO, TX 78217-5405
(210) 637-0641
(210) 637-0613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03865
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N8803
BLUECROSS/BLUESHIELD TX
TX
Enumeration date
07/21/2006
Last updated
07/16/2007
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