IndividualActive
Nicole Harding, IDC
NPI 1114681293 · Independent Duty Corpsman · San Antonio, TX
Provider details
- NPI number
- 1114681293
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- No
- License
- 52463390 (TX)
Specialties & taxonomies
Other Service Providers
Practice location
3851 Roger Brooke Dr Dept 15
San Antonio, TX 78234-6200
Phone: (916) 628-5455
Approximate (ZIP-level) locationGet directions
Mailing address
3071 Mustang Mdw
Seguin, TX 78155-1874
Registry dates
- Enumerated
- 2021-10-26
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.