Individual
NICHOLAS ANTHONY KEVIN METCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 S BRYAN RD, MISSION, TX 78572-6613
(956) 580-9000
Mailing address
5201 SUGAR MILL RD, BROWNSVILLE, TX 78526-3874
(956) 548-0485
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G1114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139630119
—
TX
05
—
139630123
—
TX
01
—
8R0692
BCBS
TX
Enumeration date
11/16/2005
Last updated
03/26/2008
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