Individual
ROCHELLE LAVERNE STATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6531 FM 78 STE 110, SAN ANTONIO, TX 78244-1456
(210) 675-0066
(210) 618-0324
Mailing address
9832 LOGANS RIDGE DR, CONVERSE, TX 78109-2765
(210) 675-0066
(210) 618-0324
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
458635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157869202
—
TX
05
—
157869205
—
TX
05
—
326237002
—
TX
01
—
8Y0598
BCBS
TX
Enumeration date
09/21/2006
Last updated
01/21/2026
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