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Individual

BUDDY R NIELSEN

Active
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Individual

BUDDY R NIELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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