Organization
NIDAL J BADRAN MD PA
Active
Other names
NIDAL J. BADRAN MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
NIDAL J BADRAN MD (PRESIDENT)
(210) 390-9492
Entity
Organization
Contact information
Practice address
7712 ECKHERT RD, SAN ANTONIO, TX 78240-3008
(210) 520-8060
(210) 520-0696
Mailing address
7712 ECKHERT RD, SAN ANTONIO, TX 78240-3008
(210) 520-8060
(210) 520-0696
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J9616
TX LICENSE
TX
Enumeration date
12/04/2020
Last updated
04/01/2021
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