Individual
ALEXANDER LOUIS NESTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
221 3RD ST W, RANDOLPH AFB, TX 78150-4800
(210) 652-2117
Mailing address
677 CREEKSIDE WAY APT 125, NEW BRAUNFELS, TX 78130-5578
(920) 883-5864
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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