Individual
ANDREA MCALLISTER SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 BROADWAY ST STE 106, SAN ANTONIO, TX 78209-5257
(210) 828-5583
(210) 828-4129
Mailing address
5800 BROADWAY ST STE 106, SAN ANTONIO, TX 78209-5257
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112802
TX
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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