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Individual

DAVID LEE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
10700 MCPHERSON AVE, LAREDO, TX 78045-6268
(956) 523-2619
Mailing address
8511 MCPHERSON ROAD, SUITE 105, PMB 233, LAREDO, TX 78045
(956) 523-2619

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
227949
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126067108
TX
01
85397U
BCBS
TX
Enumeration date
02/01/2006
Last updated
11/17/2011
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