Suad Dualeh Abdirahman
Individual provider Active NPI Nurse's Aide · San Antonio, TX
NPI 1982179511 · NPPES record last updated Oct 10, 2018
Key facts
- NPI
- 1982179511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 4041 Medical Dr
San Antonio, TX 78229-2184 - Phone
- (210) 773-3352
- NPI assigned
- Oct 10, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | TX | Yes |
Addresses
Primary practice location
4041 Medical Dr
San Antonio, TX 78229-2184
Mailing address
4041 Medical Dr
San Antonio, TX 78229-2184
Phone (210) 773-3352
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.