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Individual

MRS. SHAWNA LEIGH BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, CPNP

Contact information

Practice address
8210 CALLAGHAN RD, SAN ANTONIO, TX 78230-4775
(210) 233-7000
(210) 348-9930
Mailing address
8210 CALLAGHAN RD, SAN ANTONIO, TX 78230-4775
(210) 233-7000

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1028640
TX

Other

Enumeration date
05/11/2021
Last updated
05/24/2021
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