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Individual

NICER PEREZ III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
24819 WINE ROSE PATH, SAN ANTONIO, TX 78255-2268
(210) 473-1909

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
974245
TX

Other

Enumeration date
01/21/2025
Last updated
02/13/2025
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