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Individual

WALTER MIKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
(210) 916-5102
Mailing address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
(210) 916-5102

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
426120
TX

Other

Enumeration date
06/12/2008
Last updated
06/13/2008
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