Individual
CHRISTOPHER B TICKNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1202 E SONTERRA BLVD, #202, SAN ANTONIO, TX 78258-4089
(210) 692-7775
(210) 615-6966
Mailing address
1202 E SONTERRA BLVD, #202, SAN ANTONIO, TX 78258
(210) 692-7775
(210) 615-6966
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G3857
TX
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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