Individual
NASTARAN FATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 E QUINCY ST, 420, SAN ANTONIO, TX 78215-2039
(210) 222-9997
(210) 222-2939
Mailing address
215 E QUINCY, 420, SAN ANTONIO, TX 78215
(210) 222-9997
(210) 222-2939
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G1895
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033086201
—
TX
Enumeration date
09/26/2006
Last updated
07/21/2010
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