Individual
NICCI OWUSU-BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7979 WURZBACH RD, SAN ANTONIO, TX 78229-4427
(210) 450-5990
(210) 450-1747
Mailing address
7979 WURZBACH RD, SAN ANTONIO, TX 78229-4427
(210) 450-5990
(210) 450-1747
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R0774
TX
2086X0206X
Surgical Oncology Physician
Primary
R0774
TX
Other
Enumeration date
04/15/2014
Last updated
11/13/2025
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