Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephaine E Liliedahl, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1063338903

Stephaine E Liliedahl, IDMT is an Independent Duty Medical Technicians in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2026.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone: (210) 916-1723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X (TX)

Record details

NPI number1063338903
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDMT
Sole proprietorNo
NPI enumeratedJune 25, 2026
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

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