Provider Demographics
NPI:1619967593
Name:BAKRIS, NICHOLAS CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:CHRISTOPHER
Last Name:BAKRIS
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3851 ROGER BROOKE DR
Mailing Address - Street 2:BROOKE ARMY MEDICAL CENTER, MCHE-QD/CREDENTIALS
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4501
Mailing Address - Country:US
Mailing Address - Phone:210-916-3305
Mailing Address - Fax:210-916-3501
Practice Address - Street 1:3851 ROGER BROOKE DR
Practice Address - Street 2:BROOKE ARMY MEDICAL CENTER, MCHE-QD/CREDENTIALS
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78234-4501
Practice Address - Country:US
Practice Address - Phone:210-916-3305
Practice Address - Fax:210-916-3501
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2016-08-12
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Provider Licenses
StateLicense IDTaxonomies
MI4301054823207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease