Individual
CHRISTOPHER THOMAS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
124 E BANDERA RD STE 304, BOERNE, TX 78006-2852
(830) 816-5055
Mailing address
19238 STONEHUE, SAN ANTONIO, TX 78258-3447
(210) 494-2223
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
32650
KY
208000000X
Pediatrics Physician
Primary
H9552
TX
2080A0000X
Pediatric Adolescent Medicine Physician
32650
KY
2080P0208X
Pediatric Infectious Diseases Physician
32650
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64326507
—
KY
Enumeration date
07/20/2006
Last updated
08/03/2022
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