Individual
NIDAL JAMAL BADRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7712 ECKHERT RD, SAN ANTONIO, TX 78240-3008
(210) 520-8060
Mailing address
2 ELMWOOD PARK DR APT 225, STATEN ISLAND, NY 10314-7526
(210) 390-9492
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
J9616
TX
207RN0300X
Nephrology Physician
Primary
J9616
TX
Other
Enumeration date
01/04/2019
Last updated
06/07/2019
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