Individual
MR. CHARLES H BRAKHAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
225 E SONTERRA BLVD STE 100, SAN ANTONIO, TX 78258-3993
(210) 496-7999
(210) 494-1666
Mailing address
225 E SONTERRA BLVD STE 100, SAN ANTONIO, TX 78258-3993
(210) 496-7999
(210) 494-1666
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01399
TX
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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