Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | J6606 | TX |
NPI | 1295933638 |
---|---|
Provider Name | Dr. Cynthia Lorraine Stone |
First Address | San Antonio, TX 78209-2955 |
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 | 06/07/2007 |
Last Update Date | 08/07/2007 |