Individual
STEPHANIE MARIE JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1616 CALLAGHAN RD, SAN ANTONIO, TX 78228-4315
(210) 435-1218
Mailing address
11675 FOWLER RD, ATASCOSA, TX 78002-5783
(210) 373-0591
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
7188
TX
2255A2300X
Athletic Trainer
AT7188
TX
363AM0700X
Medical Physician Assistant
Primary
PA17860
TX
Other
Enumeration date
11/01/2017
Last updated
04/01/2024
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