William Nisimblat Mdpa

NPI #1477646271 in Alice, Texas

Provider Information

NPI Number: 1477646271
Entity Type: Organization
Organization Name: William Nisimblat Mdpa
Primary Specialty: Pediatrics
Enumeration Date: Oct 2, 2006
Last Updated: Feb 9, 2011

Practice Location

Address: 305 E THIRD ST
City: Alice
State: Texas
ZIP Code: 78332-4705
Phone: (361) 664-5291

Authorized Official

Name: WILLIAM NISIMBLAT, MD
Title: OWNER
Phone: (361) 664-5291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X
Pediatrics	208000000X	Primary

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