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Dr. Jorge Luis Nieto, D.C.

Chiropractor in Plano, TX. Individual provider (NPI-1).

NPI number1790794865
StatusActive
Last updated in NPPESFeb 26, 2021

Details

NPI
1790794865
Entity type
Individual (NPI-1)
Name
Dr. Jorge Luis Nieto
Credential
D.C.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 6, 2006
Certification date
Feb 26, 2021
Last updated
Feb 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor10219TXYes

Practice location

6101 Windhaven Pkwy Ste 145
Plano, TX 75093-8198

Phone 972-473-8980 · Fax 972-212-6851

Mailing address

1003 Calgary Ct
Lewisville, TX 75077-2953

Phone 469-353-4364

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