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Individual

BARBARA ANNE BRAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5825 NORTHGAP DR, SAN ANTONIO, TX 78239
(210) 655-8322
Mailing address
PO BOX 33235, SAN ANTONIO, TX 78265
(210) 655-8322

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D9369
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00T718
BCBS
TX
Enumeration date
11/16/2006
Last updated
07/08/2007
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