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1649023631
NISHAD MYSORE
SAN ANTONIO, TX
NPI
1649023631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
Dr. NISHAD MYSORE DO
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229-3789
Phone number: 346-550-6457
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Mailing Address
Dr. NISHAD MYSORE DO
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229-3789
Phone number:
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