Individual
BRIAN D POLIQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7579 N LOOP 1604 W STE 100, SAN ANTONIO, TX 78249-2782
(210) 695-1900
(210) 695-1901
Mailing address
7579 N LOOP 1604 W, SUITE 100, SAN ANTONIO, TX 78249-2781
(210) 695-1900
(210) 695-1901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03032
TX
Other
Enumeration date
03/31/2009
Last updated
01/27/2023
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