Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | 0101252275 | VA |
Y | 2086S0127X | Trauma Surgeon | 0101252275 | VA |
NPI | 1306157110 |
---|---|
Provider Name | Dr. Vincente Scott Nelson |
First Address | San Antonio, TX 78212-4516 |
Second Address | Fort Sam Houston, TX 78234-4504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2010 |
Last Update Date | 25/06/2019 |