Individual
STEPHANIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
540 MADISON OAK DR STE 440, SAN ANTONIO, TX 78258-3922
(210) 403-3700
(210) 403-3709
Mailing address
19141 STONE OAK PKWY STE 104, SAN ANTONIO, TX 78258-3367
(210) 268-0129
(210) 314-4609
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP138496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363L0000X
NURSE PRACTITIONER
TX
Enumeration date
08/17/2018
Last updated
03/15/2026
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