Individual
MS. SHANIQUE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5514 LONE STAR PKWY STE 103, SAN ANTONIO, TX 78253-6770
(830) 955-8515
(210) 688-9429
Mailing address
5514 LONE STAR PKWY STE 103, SAN ANTONIO, TX 78253-6770
(830) 955-8515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1069027
TX
Other
Enumeration date
07/01/2022
Last updated
03/25/2025
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