Individual
NICHOLAS WILLIAM PUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1734 DOE CRST, SAN ANTONIO, TX 78248-1483
(210) 240-4568
Mailing address
1734 DOE CRST, SAN ANTONIO, TX 78248-1483
(210) 240-4568
(210) 443-0308
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
829965
TX
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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