Individual
DR. TYLER JAMES STAVINOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-3030
Mailing address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-3030
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A154200
CA
207X00000X
Orthopaedic Surgery Physician
Primary
S3316
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
S3316
TX
Other
Enumeration date
04/09/2012
Last updated
06/24/2024
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