Individual
NILTO C DE OLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4410 MEDICAL DR STE 420, SAN ANTONIO, TX 78229-3749
(210) 575-5462
(210) 510-6365
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6900
(414) 955-6204
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
47576
TX
207R00000X
Internal Medicine Physician
47576
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
47576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376507939
—
TX
Enumeration date
04/12/2006
Last updated
04/10/2024
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