Individual
MR. TIMOTHY S METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
18626 HARDY OAK BLVD STE 300, SAN ANTONIO, TX 78258-4228
(210) 495-9047
Mailing address
828 STAGECOACH TRL, SAN MARCOS, TX 78666-5073
(512) 878-0533
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04906
TX
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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