Individual
MR. BRIAN C NIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DPT MTC
Contact information
Practice address
19260 STONE OAK PKWY, SUITE 107, SAN ANTONIO, TX 78258
(210) 545-9355
(210) 545-9369
Mailing address
PO BOX 977, SAN ANTONIO, TX 78294
(210) 572-6313
(210) 545-9369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1147538
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T6241
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/19/2006
Last updated
07/08/2007
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