Most Relevant Information
Provider Data
| NPI Number: | 1003488255 |
| Provider Name: | STEPHANIE ANNE AVILES CPNP-PC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 1033449 |
Most Important Dates
| Enumeration Date: | 07/15/2021 |
| Last Updated: | 02/21/2023 |
Provider Practice Location
5439 RAY ELLISON BLVD
SAN ANTONIO
TX
782422219
Practice Location Phone/Fax
| Phone: | 2109227000 |
| Fax: | 2104573390 |
Provider Mailing Location
3750 COMMERCIAL AVE
SAN ANTONIO
TX
782213117
Provider Mailing Phone/Fax
| Phone: | 2109227000 |
| Fax: | 2109241374 |