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Individual

TROY FAULKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 743-0019
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
954026
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1097802
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
MEDICARE PENDING
TX
Enumeration date
10/18/2022
Last updated
01/18/2023
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