Individual
ANTON PETER NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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