Individual provider · NPI-1
Stephen Moore Adams, Nurse Practitioner
Nurse Practitioner, Pediatrics · San Antonio, TX
NPI number1659329027
StatusActive
Last updated in NPPESJun 20, 2008
Details
- NPI
- 1659329027
- Entity type
- Individual (NPI-1)
- Name
- Mr. Stephen Moore Adams
- Credential
- Nurse Practitioner
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2006
- Last updated
- Jun 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 2406 | SC | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | 559709 | TX |
Practice location
3066 E Commerce StSan Antonio, TX 78220-1013
Phone 210-233-7000 · Fax 210-277-5199
Mailing address
3066 E Commerce StSan Antonio, TX 78220-1013
Phone 210-233-7000 · Fax 210-277-5199
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