Individual
GARY RICHARD STILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDCI
Contact information
Practice address
7428 W MILITARY DR, SAN ANTONIO, TX 78227-3010
(210) 673-8111
(210) 673-8740
Mailing address
7428 W MILITARY DR, SAN ANTONIO, TX 78227-3010
(210) 673-8111
(210) 673-8740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
40597
TX
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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