Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | S9149 | TX |
NPI | 1003201393 |
---|---|
Provider Name | Erica Hughley |
First Address | San Antonio, TX 78217-5418 |
Second Address | San Antonio, TX 78258-3280 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2015 |
Last Update Date | 16/09/2021 |