NIKKI LAUDERBACK

JBSA FT SAM HOUSTON, TX
NPI1093414534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: TX  V4138)
Enumeration Date2023-02-23
Last Update Date2024-10-21
Business Address
NIKKI LAUDERBACK
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-4789
Mailing Address
NIKKI LAUDERBACK
3551 ROGER BROOKE DR
SAN ANTONIO, TX 78234-4504
Phone number: