Individual
NICHOLAS EMMANUEL VENEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3201 CHERRY RIDGE ST STE 400, SAN ANTONIO, TX 78230-4820
(210) 692-0222
(210) 692-0222
Mailing address
8514 MERI LEAP, SAN ANTONIO, TX 78251-5046
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2089647
TX
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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