Individual
NICOLE RENEE BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 743-4130
(210) 358-1972
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 743-4130
(210) 358-1972
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
U1251
TX
2086S0102X
Surgical Critical Care Physician
Primary
U1251
TX
Other
Enumeration date
04/03/2018
Last updated
08/05/2025
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