Healthcare Provider Details

I. General information

NPI: 1568784676
Provider Name (Legal Business Name): ANMARIE MACFARLAND D.V.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2010
Last Update Date: 02/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9901 BROADWAY ST STE# 108
SAN ANTONIO TX
78217
US

IV. Provider business mailing address

9901 BROADWAY STE# 108
SAN ANTONIO TX
78217
US

V. Phone/Fax

Practice location:
  • Phone: 210-824-7244
  • Fax: 210-824-7508
Mailing address:
  • Phone: 210-824-7244
  • Fax: 210-824-7508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number6837
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: