Individual
SUSAN P HARRELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CLT-LANA
Contact information
Practice address
18626 HARDY OAK BLVD, SUITE 210, SAN ANTONIO, TX 78258-4210
(210) 237-4229
(210) 249-4911
Mailing address
5047 SHERRI ANN RD, SAN ANTONIO, TX 78233-6213
(210) 237-4400
(210) 828-0590
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
000573
TX
174400000X
Specialist
Primary
MT016082
TX
Other
Enumeration date
03/13/2013
Last updated
10/23/2014
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