Individual
ERIK NISIMBLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 E 3RD ST, ALICE, TX 78332
(361) 664-5291
(361) 668-1630
Mailing address
PO BPX 289, ALICE, TX 78333
(361) 664-5291
(361) 668-1630
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K4758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0924680-02
TEXAS HEALTH STEPS
TX
05
—
092468001
—
TX
Enumeration date
10/02/2006
Last updated
02/09/2011
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