Nieto, Roberto M
Nieto, Roberto M is an individual health care provider with primary practice located at 2800 E Broad St Suite 504, Mansfield TX 76063-6409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Nieto, Roberto M can be contacted via phone (817) 225-0410.Contact Information
Primary practice address
2800 E Broad St Suite 504
Mansfield TX 76063-6409
Phone: (817) 225-0410
Fax: (817) 419-8561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | J2967 | Texas |
Profile Details
| NPI number | 1750430419 |
|---|---|
| LBN Legal business name | Nieto, Roberto M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Mar 20th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750430419 | NPPES |
| Texas | Other | 130011976 | RAILROAD MEDICARE |
| Texas | MEDICAID | 119215502 | RAILROAD MEDICARE |
| Texas | Other | 89M402 | RAILROAD MEDICARE |
| Texas | MEDICAID | 083092901 | RAILROAD MEDICARE |
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