Individual provider · Type 1 NPI

Nishad Mysore, DO

Student in an Organized Health Care Education/Training Program · San Antonio, TX

NPI number 1649023631 Active

Practice location

4499 Medical Dr Ste 171
San Antonio, TX 78229-3789

Call (346) 550-6457 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1649023631

Nishad Mysore, DO's National Provider Identifier is 1649023631, issued on Apr 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Antonio, TX. The record was last updated on Apr 9, 2024.