Individual
STEPHEN GREENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
430 W SUNSET RD STE 201, SAN ANTONIO, TX 78209-1772
(210) 824-4584
(210) 805-8466
Mailing address
430 W SUNSET RD STE 201, SAN ANTONIO, TX 78209-1772
(210) 824-4584
(210) 805-8466
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00689
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3142911-01
WELLMED MEDICAID
TX
01
—
TXB152755
WELLMED MEDICAL GROUP PA
—
Enumeration date
07/07/2005
Last updated
03/30/2020
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