Individual
BIANCA CARMEN BRAEUTIGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5620 LONE STAR PKWY STE 2, SAN ANTONIO, TX 78253-2202
(210) 614-1231
Mailing address
16620 SAN PEDRO AVE STE 300, SAN ANTONIO, TX 78232-2679
(210) 403-5974
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1179414
TX
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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