MEDICARE: SAMUEL AUGUST NASH

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1108215	TX

General Provider Information

NPI Number	:	1558702571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL AUGUST NASH

Provider Business Mailing Address
First Line	:	705 LANDA ST STE E
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-6163
Country	:	US
Telephone Number	:	210-360-1590
Fax Number	:	210-855-9300

Provider Business Practice Location Address
First Line	:	705 LANDA ST STE E
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-6163
Country	:	US
Telephone Number	:	210-360-1590
Fax Number	:	210-855-9300

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

Provider Enumeration Date	:	07/08/2013
Last Update Date	:	08/20/2025

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Directions to “ SAMUEL AUGUST NASH ” Practice Location

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