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Tana M Nieto, MD
Student in an Organized Health Care Education/Training Program in Conroe, Texas
NPI 1730760463

Tana M Nieto is a Student in an Organized Health Care Education/Training Program based in Conroe, TX. Tana M Nieto practices in Conroe, TX and has the professional credentials of MD. The NPI Number for Tana M Nieto is 1730760463 and holds a License No. BP10074831 (Texas).

The current practice location address for Tana M Nieto is 605 S Conroe Medical Dr, Conroe, TX and can be reached out via phone at 936-539-4004 and via fax at 936-521-3964.

Location: 605 S Conroe Medical Dr, Conroe, TX, 77304-4722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730760463
Provider Name
Tana M Nieto
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
605 S Conroe Medical Dr, Conroe, TX, 77304-4722
Phone Number
936-539-4004
Fax Number
936-521-3964
Provider Enumeration Date
04/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
605 S Conroe Medical Dr
City
Conroe
State
Texas
Zip
77304-4722
Phone Number
936-539-4004
Fax Number
936-521-3964
person
Provider Business Mailing Address Details
Address
605 S Conroe Medical Dr
City
Conroe
State
Texas
Zip
77304-4722
Phone Number
936-539-4004
Fax Number
936-521-3964
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10074831 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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