Provider Demographics
NPI:1457442196
Name:NAU, CORNELIUS HUGO JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CORNELIUS
Middle Name:HUGO
Last Name:NAU
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 W. SUNSET RD.
Mailing Address - Street 2:STE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2632
Mailing Address - Country:US
Mailing Address - Phone:210-824-4888
Mailing Address - Fax:210-828-2873
Practice Address - Street 1:147 W. SUNSET RD.
Practice Address - Street 2:STE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2632
Practice Address - Country:US
Practice Address - Phone:210-824-4888
Practice Address - Fax:210-828-2873
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG27942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX11539493-03Medicaid
TX00SW26Medicare PIN
TXC19791Medicare UPIN