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Individual

JOYCELYN MARIE THEARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
19284 STONE OAK PKWY STE 104, SAN ANTONIO, TX 78258-3474
(210) 268-0120
(210) 268-0170
Mailing address
19284 STONE OAK PKWY STE 104, SAN ANTONIO, TX 78258-3474
(210) 268-0120
(210) 268-0170

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
F4594
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
034507602
TX
Enumeration date
10/26/2006
Last updated
10/03/2023
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