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Individual

BRANDON ALLEN GAUTHIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-3482
(210) 817-5013
Mailing address
8314 PIONEER FLD, SAN ANTONIO, TX 78253-4765
(210) 792-1023

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AP142811
TX

Other

Enumeration date
08/21/2019
Last updated
08/07/2025
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