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Individual

NICHOLAS HOLSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPS

Contact information

Practice address
1854 LOCKHILL SELMA RD STE 102, SAN ANTONIO, TX 78213-1557
(210) 481-8335
Mailing address
10955 WURZBACH RD APT 603, SAN ANTONIO, TX 78230-2544
(210) 589-6488

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175T00000X
TX
Enumeration date
01/07/2019
Last updated
01/07/2019
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