Nussbaumer, Samuel A
Nussbaumer, Samuel A is an individual health care provider with primary practice located at 1400 Hospital Parkway, Suite 100 , Bedford TX 76022-6928. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Nussbaumer, Samuel A can be contacted via phone (817) 545-4550.Contact Information
Primary practice address
1400 Hospital Parkway, Suite 100
Bedford TX 76022-6928
Phone: (817) 545-4550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G5438 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | G5438 | Texas |
Profile Details
| NPI number | 1073515508 |
|---|---|
| LBN Legal business name | Nussbaumer, Samuel A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Oct 14th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073515508 | NPPES |
| Texas | MEDICAID | 139651720 |
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