Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | K8800 | TX |
Y | 207U00000X | Nuclear Medicine Specialist | MD.14005R | LA |
NPI | 1174575583 |
---|---|
Provider Name | Dr. Oussama Nachar |
First Address | Mission, TX 78572-7532 |
Second Address | Edinburg, TX 78539-5503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 16/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1188042 | (05) | LA |
H28928 | (02) |