Organization
NUCH OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ENDERLE (AUTHORIZED SIGNATORY)
(615) 600-4120
Entity
Organization
Contact information
Practice address
513 CIBOLO VALLEY DR STE 101, CIBOLO, TX 78108-3676
(210) 714-5591
(210) 714-5592
Mailing address
115 EASTPARK DR STE 300, BRENTWOOD, TN 37027-2311
(615) 600-4074
(615) 309-8341
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/17/2015
Last updated
11/02/2017
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