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Individual
WILLIAM NISIMBLAT
Active
Individual
WILLIAM NISIMBLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D8368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1214496-03
TESAS HEALTH STEPS
TX
05
—
121449601
—
TX
05
—
121449602
—
TX
Enumeration date
10/02/2006
Last updated
02/09/2011
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