Individual
LETICIA A SHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 N SAN SABA STE 1135, SAN ANTONIO, TX 78207-3255
(210) 704-3030
Mailing address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-3030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
41989
AZ
208000000X
Pediatrics Physician
Primary
N6995
TX
208M00000X
Hospitalist Physician
N6995
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
437639
—
AZ
Enumeration date
10/12/2006
Last updated
07/29/2024
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