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MRS. STACEY ROBERTA MONTEJANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5106 W LOOP 1604 N, SAN ANTONIO, TX 78251-4408
(726) 243-2000
Mailing address
8805 CHAVEZ PATH, SAN ANTONIO, TX 78254-2085

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
1190261
TX
207Q00000X
Family Medicine Physician
1190261
TX
363L00000X
Nurse Practitioner
Primary
1190261
TX

Other

Enumeration date
02/05/2025
Last updated
01/07/2026
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