Individual
TAYCE DEBRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 DEER CROSS LN, SAN ANTONIO, TX 78260-7033
(402) 817-9089
Mailing address
321 DEER CROSS LN, SAN ANTONIO, TX 78260-7033
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
956161
TX
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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