Provider Demographics
NPI:1972575827
Name:NIELSON, DAVID HUGH (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HUGH
Last Name:NIELSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1202 E SONTERRA BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258
Mailing Address - Country:US
Mailing Address - Phone:210-490-7464
Mailing Address - Fax:888-975-1542
Practice Address - Street 1:1202 E SONTERRA BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-490-7464
Practice Address - Fax:888-975-1542
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-05
Last Update Date:2020-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK0962208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)