Individual
CHRISTINA BRICOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
23119 W INTERSTATE 10 BLDG 9, SAN ANTONIO, TX 78257-1767
(210) 972-8058
(210) 899-1613
Mailing address
15207 FALL RIDGE DR, SAN ANTONIO, TX 78247-3222
(616) 402-0963
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1131025
TX
Other
Enumeration date
04/15/2020
Last updated
01/08/2024
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