Individual
MR. STEPHEN MOORE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
3066 E COMMERCE ST, SAN ANTONIO, TX 78220-1013
(210) 233-7000
(210) 277-5199
Mailing address
3066 E COMMERCE ST, SAN ANTONIO, TX 78220-1013
(210) 233-7000
(210) 277-5199
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2406
SC
363LP0200X
Pediatric Nurse Practitioner
559709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
559709
LICENSE
TX
Enumeration date
05/05/2006
Last updated
06/20/2008
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