Organization
SENIOR PATH SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA ANN SHEPARD (DIRECTOR)
(830) 708-8718
Entity
Organization
Contact information
Practice address
726 ENCINO DR, NEW BRAUNFELS, TX 78130-6647
(830) 708-8718
Mailing address
726 ENCINO DR, NEW BRAUNFELS, TX 78130-6647
(830) 708-8718
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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