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Individual

DR. LALA MARIA STAWOWY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9150 HUEBNER RD., SUITE 330, SAN ANTONIO, TX 78240-1545
(210) 692-7684
(210) 692-1814
Mailing address
9150 HUEBNER RD., SUITE 330, SAN ANTONIO, TX 78240-1540
(210) 692-7684
(210) 692-1814

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
H1533
TX
207NS0135X
Procedural Dermatology Physician
Primary
H1533
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1233017-01
TX
05
1233017-02
TX
Enumeration date
07/10/2006
Last updated
02/16/2015
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