Individual
MRS. AMELIA MANALANSAN DURAN-STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-3710
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-5586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1045717
GA
363A00000X
Physician Assistant
Primary
PA12435
TX
Other
Enumeration date
10/25/2006
Last updated
06/28/2023
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