Provider Demographics
NPI:1285989012
Name:STEAVENSON, ROSANA COELHO OLIVEIRA (PHARMD)
Entity type:Individual
Prefix:
First Name:ROSANA
Middle Name:COELHO OLIVEIRA
Last Name:STEAVENSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ROSANA
Other - Middle Name:COELHO
Other - Last Name:OLIVEIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:603 TAMMY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-3456
Mailing Address - Country:US
Mailing Address - Phone:203-313-4096
Mailing Address - Fax:
Practice Address - Street 1:1901 VETERANS MEMORIAL DR RM 119
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-7445
Practice Address - Country:US
Practice Address - Phone:830-359-9776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX522951835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric