Individual
MRS. TERESA MARIE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
271 FORT RICHARDSON AVE, BLDG 1001, GOODFELLOW AFB, TX 76908-4901
(210) 845-9912
Mailing address
271 FORT RICHARDSON AVE, BLDG 1001, GOODFELLOW AFB, TX 76908-4901
(210) 845-9912
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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