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Individual

DR. DEREK MATTHEW NUSBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
301 UNIVERSITY BLVD, AEROSPACE MEDICINE DEPARTMENT, GALVESTON, TX 77555-5302
(409) 457-5219
Mailing address
301 UNIVERSITY BLVD, AEROSPACE MEDICINE DEPARTMENT, GALVESTON, TX 77555-5302
(713) 870-3167

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10034505
TX
207R00000X
Internal Medicine Physician
Primary
P1572
TX

Other

Enumeration date
10/05/2009
Last updated
05/25/2021
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