Organization
NASSER NAKISSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASSAR NAKISSA M.D. (OWNER)
(210) 434-2488
Entity
Organization
Contact information
Practice address
700 S ZARZAMORA ST, SUITE 208, SAN ANTONIO, TX 78207-5255
(210) 434-2488
(210) 434-3113
Mailing address
PO BOX 28554, SAN ANTONIO, TX 78228-0554
(210) 434-2488
(210) 434-3113
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
101130
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152910901
—
TX
Enumeration date
01/26/2007
Last updated
06/22/2008
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