Individual
LISA COELHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9635 HUEBNER RD, SAN ANTONIO, TX 78240-1512
(210) 692-1181
(210) 994-9482
Mailing address
9635 HUEBNER RD, SAN ANTONIO, TX 78240-1512
(210) 692-1181
(210) 641-7577
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10634
TX
Other
Enumeration date
08/11/2016
Last updated
09/29/2022
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