Individual
NICHOLAS GAULTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
14603 HUEBNER RD STE 3505, SAN ANTONIO, TX 78230-5469
(210) 985-1900
(210) 985-1905
Mailing address
PO BOX 591245, SAN ANTONIO, TX 78259-0112
(210) 985-1900
(210) 985-1905
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
859829
TX
Other
Enumeration date
06/08/2016
Last updated
04/10/2023
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