Individual
CAROLINE MARY SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 MADISON OAK DR STE 310, SAN ANTONIO, TX 78258-4298
(210) 483-8883
Mailing address
8931 SCENIC CRK, CONVERSE, TX 78109-1682
(303) 514-8331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1171095
TX
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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