Individual
NATHAN FOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-4499
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
931257
TX
171000000X
Military Health Care Provider
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
1129063
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2021
Last updated
04/01/2024
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