Individual
DR. CHAD NICHOLAS STASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4330 MEDICAL DR STE 325, SAN ANTONIO, TX 78229-3389
(210) 615-7700
Mailing address
4330 MEDICAL DR STE 325, SAN ANTONIO, TX 78229-3389
(210) 615-7700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2017007403
MO
208600000X
Surgery Physician
TRN8846
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2017007403
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
N5416
TX
Other
Enumeration date
10/12/2006
Last updated
01/28/2022
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