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NPI Code Detail

MEDICARE: ROSANA COELHO OLIVEIRA STEAVENSON PHARMD

MEDICARE: ROSANA COELHO OLIVEIRA STEAVENSON PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1300XPsychiatric Pharmacist52295TX

General Provider Information

NPI Number : 1285989012
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSANA COELHO OLIVEIRA STEAVENSON PHARMD
Provider Business Mailing Address
First Line : 603 TAMMY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-3456
Country : US
Telephone Number : 203-313-4096
Fax Number :
Provider Business Practice Location Address
First Line : 1901 VETERANS MEMORIAL DR RM 119
Second Line :
City : TEMPLE
State : TX
Zip : 76504-7445
Country : US
Telephone Number : 830-359-9776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2012
Last Update Date : 09/26/2024

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Directions to “ ROSANA COELHO OLIVEIRA STEAVENSON PHARMD” Practice Location

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