ELISE VADER

SAN ANTONIO, TX
NPI1699163642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA09491)
Enumeration Date2014-12-29
Last Update Date2021-02-10
Business Address
ELISE VADER
919 LOCKE ST
SAN ANTONIO, TX 78208-2127
Phone number: 210-358-8255
Mailing Address
ELISE VADER
PO BOX 734812
DALLAS, TX 75373-4812
Phone number: 210-358-9500