Individual
JACKLYN RENEE SCHALLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 SW 36TH ST, SAN ANTONIO, TX 78237-3360
(210) 358-5100
(210) 358-5157
Mailing address
PO BOX 87, SAN ANTONIO, TX 78291-0087
(210) 358-9174
(210) 358-5753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07952
TX
Other
Enumeration date
08/08/2012
Last updated
10/10/2012
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