Dr. Candace Suzanne Staubitz Percival
Pediatric Endocrinologist
3851 Roger Brooke Dr Mche-Qd (creds)
Fort Sam Houston
, Texas 78234-4501
Dr. Candace Suzanne Staubitz Percival
Pediatric Endocrinologist
3851 Roger Brooke Dr Mche-Qd (creds)
Fort Sam Houston
, Texas 78234-4501
(301) 512-1005
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About
Features
Specialties
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Candace Suzanne Staubitz Percival
- 202 Grandview Pl
- San Antonio, TX
- Zip : 78209-5817
- Phone : (301) 512-1005
Second Address
- Dr. Candace Suzanne Staubitz Percival
- 3851 Roger Brooke Dr Mche-Qd (creds)
- Fort Sam Houston, TX
- Zip : 78234-4501
- Phone : (210) 216-3020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0205X | Pediatric Endocrinologist | 0101241708 | VA |
National Provider Identifier
| NPI | 1063507101 |
|---|---|
| Provider Name | Dr. Candace Suzanne Staubitz Percival |
| First Address | San Antonio, TX 78209-5817 |
| Second Address | Fort Sam Houston, TX 78234-4501 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 22/07/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.