Individual
DR. ANDRES NISIMBLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6200 SARATOGA BLVD, BLDG 5, CORPUS CHRISTI, TX 78414-3477
(361) 225-2255
(361) 854-3672
Mailing address
6200 SARATOGA BLVD, BLDG 5, CORPUS CHRISTI, TX 78414-3477
(361) 225-2255
(361) 854-3672
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L3771
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152221102
—
TX
Enumeration date
08/02/2006
Last updated
08/22/2011
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