MEDICARE: PAUL C NADER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	F9867	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164407102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL C NADER MD

Provider Business Mailing Address
First Line	:	408 W 45TH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-3014
Country	:	US
Telephone Number	:	512-451-5800
Fax Number	:	512-459-1399

Provider Business Practice Location Address
First Line	:	4100 DUVAL ROAD
Second Line	:	BUILDING 4, SUITE 102
City	:	AUSTIN
State	:	TX
Zip	:	78759-4277
Country	:	US
Telephone Number	:	512-832-0999
Fax Number	:	512-832-6094

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	07/15/2015

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Directions to “ PAUL C NADER MD” Practice Location

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