Healthcare Provider Details

I. General information

NPI: 1417130485
Provider Name (Legal Business Name): NAGWA NABIL LAMAIE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2007
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5290 MEDICAL DR
SAN ANTONIO TX
78229-4849
US

IV. Provider business mailing address

5290 MEDICAL DR
SAN ANTONIO TX
78229-4849
US

V. Phone/Fax

Practice location:
  • Phone: 210-614-6000
  • Fax: 210-614-7728
Mailing address:
  • Phone: 210-614-6000
  • Fax: 210-614-7728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberN3808
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License NumberN3808
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License NumberN3808
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: