Individual
NICHOLAS PATRICK HISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-8900
Mailing address
135 HARMON DR, SAN ANTONIO, TX 78209-4213
(217) 217-9666
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
W6651
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2019
Last updated
06/09/2026
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