Individual
SAMUEL A NUSSBAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 HOSPITAL PARKWAY, SUITE 100, BEDFORD, TX 76022-6928
(817) 545-4550
Mailing address
1400 HOSPITAL PARKWAY, SUITE 100, BEDFORD, TX 76022-6928
(817) 545-4550
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G5438
TX
207RI0011X
Interventional Cardiology Physician
Primary
G5438
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139651720
—
TX
Enumeration date
08/15/2005
Last updated
10/14/2021
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