Provider Demographics
NPI:1922073048
Name:HOWARD, NATHAN S (MD)
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:S
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 W ARAPAHO RD STE 200
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4065
Mailing Address - Country:US
Mailing Address - Phone:972-498-4500
Mailing Address - Fax:972-680-9147
Practice Address - Street 1:820 W ARAPAHO RD STE 200
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4065
Practice Address - Country:US
Practice Address - Phone:972-498-4500
Practice Address - Fax:972-680-9147
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA75819207Q00000X
TXV3883207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA11467027OtherCAQH
CAH64255Medicare UPIN
CA11467027OtherCAQH
CAH64255Medicare UPIN
CAZZZ01550ZMedicare ID - Type UnspecifiedMCR TEMECULA LOCATION