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Individual

MARK W NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3338 OAKWELL COURT, SUITE 114, SAN ANTONIO, TX 78218-3019
(210) 656-5000
(210) 656-7892
Mailing address
3338 OAKWELL COURT, SUITE 114, SAN ANTONIO, TX 78218-3019
(210) 656-5000
(210) 656-7892

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G7857
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114876902
TX
Enumeration date
11/10/2005
Last updated
10/22/2007
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