Individual
DR. RONALD E. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1700 UNIVERSITY DR E, COLLEGE STATION, TX 77840-2661
(979) 691-3300
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J2231
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0461352-02
—
TX
01
—
85420Y
BLUE SHIELD
TX
01
—
930097187
RR/MEDICARE
TX
Enumeration date
03/30/2006
Last updated
03/04/2022
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