Organization Name: | N&D MEDICAL GROUP PLLC |
NPI Number: | 1013399393 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NILESH PATEL (OWNER) |
Mailing Address: | 14603 Huebner Rd Bldg 2 San Antonio |
State: | TX US |
Postal Code: | 782305469 |
Phone Number: | 2106952757 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2015 |
NPI Last Update Date: | 06/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | M2744 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |