Individual
NILS K AXELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 S ENTERPRIZE PKWY, CORPUS CHRISTI, TX 78405-4118
(361) 939-6510
(580) 357-1256
Mailing address
205 S ENTERPRIZE PKWY, CORPUS CHRISTI, TX 78405-4118
(361) 939-6510
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24240
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100143950A
—
OK
Enumeration date
09/15/2005
Last updated
09/30/2020
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