Individual
KIMBERLY STACHNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3066 E COMMERCE ST, SAN ANTONIO, TX 78220-1013
(210) 233-7063
Mailing address
3066 E COMMERCE ST, SAN ANTONIO, TX 78220-1013
(210) 233-7063
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R7904
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
03/05/2025
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