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Individual
YAGO LUIS NIETO
Active
Individual
YAGO LUIS NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M3671
TX
207RH0003X
Hematology & Oncology Physician
M3671
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182785901
—
TX
01
—
8V4660
BCBS
TX
Enumeration date
08/14/2006
Last updated
06/15/2012
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