Provider Demographics
NPI:1740383314
Name:ADAMS, NOURDJIHANE (MD)
Entity Type:Individual
Prefix:DR
First Name:NOURDJIHANE
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NOURDJIHANE
Other - Middle Name:
Other - Last Name:BALVANNANADHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5788 ECKHERT RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3900
Mailing Address - Country:US
Mailing Address - Phone:210-732-1802
Mailing Address - Fax:210-732-1861
Practice Address - Street 1:5788 ECKHERT RD
Practice Address - Street 2:FRANK TEJEDA VA OUTPATIENT CLINIC
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3900
Practice Address - Country:US
Practice Address - Phone:210-558-8812
Practice Address - Fax:210-699-2255
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215873207R00000X
IN01055902A207R00000X
TXM6995207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine