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

Stephanie Mariana Rickerson

Individual provider Medical Physician Assistant · NPI 1588247639

Stephanie Mariana Rickerson is a Medical Physician Assistant in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021

Practice location Address checks out

5825 Callaghan Rd Ste 203
San Antonio, TX 78228-1107
Phone: (210) 341-9614
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA15568 (TX)

Record details

NPI number1588247639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESMarch 29, 2022
Certification dateMarch 28, 2022

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