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Mrs. Graciela Teresa Nieto
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Laredo, Texas
NPI 1144277856

Graciela Teresa Nieto is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Harlingen, TX. Graciela Teresa Nieto practices in Laredo, TX. The NPI Number for Graciela Teresa Nieto is 1144277856 and holds a License No. R29718 (Texas).

The current practice location address for Graciela Teresa Nieto is 1405 E Lyon St, Laredo, TX and can be reached out via phone at 956-722-9729 and via fax at 956-722-9990.

Location: 1405 E Lyon St, Laredo, TX, 78551-1886
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144277856
Provider Name
Graciela Teresa Nieto
Credential
Provider Entity Type
Individual
Gender
Female
Address
1405 E Lyon St, Laredo, TX, 78551-1886
Phone Number
956-722-9729
Fax Number
956-722-9990
Provider Enumeration Date
05/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18511501 05 TX
institution
Provider Business Practice Location Address Details
Address
1405 E Lyon St
City
Laredo
State
Texas
Zip
78040-2733
Phone Number
956-722-9729
Fax Number
956-722-9990
person
Provider Business Mailing Address Details
Address
1405 E Lyon St
City
Laredo
State
Texas
Zip
78040-2733
Phone Number
956-722-9729
Fax Number
956-722-9990
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
R29718 (Texas)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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