Individual
MARY S HAGGERTY-CASAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2492 STANLEY RD, SAN ANTONIO, TX 78234-5500
(210) 916-2798
Mailing address
2492 STANLEY RD, SAN ANTONIO, TX 78234-5500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
675860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328848201
—
TX
Enumeration date
07/18/2013
Last updated
10/24/2021
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