Individual
DR. TAREQ ISSA MICHAEL NASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 S ZARZAMORA ST, SAN ANTONIO, TX 78207-5209
(210) 358-7578
(210) 358-7129
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-7578
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
Q6884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361118801
—
TX
Enumeration date
08/04/2011
Last updated
09/21/2016
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