Individual
DR. JOHN DALEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
575 HILL COUNTRY DR, KERRVILLE, TX 78028
(830) 258-7762
(830) 258-7098
Mailing address
575 HILL COUNTRY DR, KERRVILLE, TX 78028-6024
(830) 258-7762
(830) 258-7098
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R4292
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379434901
—
TX
Enumeration date
04/23/2012
Last updated
07/27/2022
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