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Dr. Susannah E. Nicholson, MD
Surgery Physician in San Antonio, Texas
NPI 1679758718

Susannah E. Nicholson is a Surgery Physician based in San Antonio, TX. Susannah E. Nicholson practices in San Antonio, TX and has the professional credentials of MD. The NPI Number for Susannah E. Nicholson is 1679758718 and holds a License No. (Texas).

The current practice location address for Susannah E. Nicholson is 4502 Medical Dr, San Antonio, TX and can be reached out via phone at 210-358-2015.

Location: 4502 Medical Dr, San Antonio, TX, 78229-3901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679758718
Provider Name
Susannah E. Nicholson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4502 Medical Dr, San Antonio, TX, 78229-3901
Phone Number
210-358-2015
Fax Number
Provider Enumeration Date
01/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
322089901 05 TX
322089902 01 TX MEDICAID CSHCN
institution
Provider Business Practice Location Address Details
Address
4502 Medical Dr
City
San Antonio
State
Texas
Zip
78229-4402
Phone Number
210-358-2015
Fax Number
person
Provider Business Mailing Address Details
Address
4502 Medical Dr
City
San Antonio
State
Texas
Zip
78229-4402
Phone Number
210-358-2015
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
P6688 (Texas)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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