Most Relevant Information
Provider Data
| NPI Number: | 1003351594 |
| Provider Name: | SHANDRIA DAPHENE SEYBOLD FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP132729 |
Most Important Dates
| Enumeration Date: | 12/20/2016 |
| Last Updated: | 12/20/2016 |
Provider Practice Location
14855 BLANCO RD
SUITE 400
SAN ANTONIO
TX
782167732
Practice Location Phone/Fax
| Phone: | 2108021133 |
| Fax: | 2104932900 |
Provider Mailing Location
14855 BLANCO RD
SUITE 400
SAN ANTONIO
TX
782167732
Provider Mailing Phone/Fax
| Phone: | 2108021133 |
| Fax: | 2104932900 |