Individual provider · Type 1 NPI

Stephanie Marie Juarez, ATC, LAT

Medical Physician Assistant · San Antonio, TX

NPI number 1952813735 Active

Practice location

1616 Callaghan Rd
San Antonio, TX 78228-4315

Mailing address

11675 Fowler Rd
Atascosa, TX 78002-5783

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XAT7188 (TX)
Medical Physician Assistant Primary 363AM0700XPA17860 (TX)
Athletic Trainer 2255A2300X7188 (TX)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1952813735

Stephanie Marie Juarez, ATC, LAT's National Provider Identifier is 1952813735, issued on Nov 1, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Antonio, TX. The record was last updated on Apr 1, 2024.