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Roberto M Nieto, MD
Neurology Physician in Mansfield, Texas
NPI 1750430419

Roberto M Nieto is a Neurology Physician based in Mansfield, TX and is specialized in Neurology. Roberto M Nieto practices in Mansfield, TX and has the professional credentials of MD. The NPI Number for Roberto M Nieto is 1750430419 and holds a License No. J2967 (Texas).

The current practice location address for Roberto M Nieto is 2800 E Broad St, Mansfield, TX and can be reached out via phone at 817-225-0410 and via fax at 817-419-8561.

Location: 2800 E Broad St, Mansfield, TX, 76063-6409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750430419
Provider Name
Roberto M Nieto
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2800 E Broad St, Mansfield, TX, 76063-6409
Phone Number
817-225-0410
Fax Number
817-419-8561
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130011976 01 TX RAILROAD MEDICARE
119215502 05 TX
89M402 01 TX BLUE CROSS BLUE SHIELD
083092901 05 TX
institution
Provider Business Practice Location Address Details
Address
2800 E Broad St
City
Mansfield
State
Texas
Zip
76063-6409
Phone Number
817-225-0410
Fax Number
817-419-8561
person
Provider Business Mailing Address Details
Address
2800 E Broad St
City
Mansfield
State
Texas
Zip
76063-6409
Phone Number
817-225-0410
Fax Number
817-419-8561
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
J2967 (Texas)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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