Individual
BUDDY R NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 HOSPITAL DR, VICTORIA, TX 77901-5748
(361) 573-9181
Mailing address
2701 HOSPITAL DR, VICTORIA, TX 77901-5748
(361) 573-9181
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J8074
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138596501
—
TX
01
—
742710179A012
CHAMPUS
TX
01
—
87W152
BLUE CROSS
TX
01
—
MDJ8074
WORKER COMPENSATION
TX
Enumeration date
10/16/2006
Last updated
10/08/2024
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