Individual
CHESTER PROSSER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7038 MARY TODD, SAN ANTONIO, TX 78240-4044
(210) 888-1327
Mailing address
3923 SOUTHERN BLF, SAN ANTONIO, TX 78222-3428
(210) 414-0235
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
27717391
TX
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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