Organization · Type 2 NPI
Nidraveda, P.a.
Medical Specialty Clinic/Center · Shavano Park, TX
Practice location
4358 Lockhill Selma Rd Ste 106
Shavano Park, TX 78249-4167
Fax (210) 239-5060
Other practice locations
- 4402 Vance Jackson Rd Ste 248, San Antonio, TX 78230-5334 · (210) 686-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | P2828 (TX) |
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | P2828 (TX) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Another provider at this address
About NPI 1457773350
Nidraveda, P.a.'s National Provider Identifier is 1457773350, issued on Jan 10, 2014. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Shavano Park, TX. The record was last updated on May 22, 2019.