Individual
DR. BEVERLY BURNETT NUCKOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
921 LAKEVIEW BLVD, NEW BRAUNFELS, TX 78130-4135
(830) 620-7744
Mailing address
PO BOX 311655, NEW BRAUNFELS, TX 78131-1655
(830) 237-1114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J1471
TX
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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