Individual
MADY CAROL STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7810 LOUIS PASTEUR DR FL 1, SAN ANTONIO, TX 78229-3471
(210) 450-7222
(210) 450-2104
Mailing address
7810 LOUIS PASTEUR DR FL 1, SAN ANTONIO, TX 78229-3471
(210) 450-7222
(210) 450-2104
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP126749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00NP151810
—
CA
Enumeration date
08/12/2006
Last updated
12/01/2022
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