Individual
ANTON PETER NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18220 TOMBALL PKWY, SUITE 400, HOUSTON, TX 77070-4347
(713) 441-9909
(713) 790-2643
Mailing address
18220 TOMBALL PKWY, SUITE 400, HOUSTON, TX 77070-4347
(713) 441-9909
(713) 790-2643
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RC0000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114877704
—
TX
05
—
114877705
—
TX
05
—
114877706
—
TX
01
—
1457315632
BLUE CROSS BLUE SHIELD
TX
01
—
8EE733
BLUE CROSS BLUE SHIELD
TX
01
—
G1493
PHYSICIAN LICENSE
TX
01
—
P01098536
RR MEDICARE
TX
01
—
P01309426
RR MEDICARE
TX
Enumeration date
04/14/2006
Last updated
08/13/2014
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