Individual
GINA PAOLA NIETO DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P14-00215
NJ
208000000X
Pediatrics Physician
S7299
TX
2080P0210X
Pediatric Nephrology Physician
Primary
S7299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419589301
—
TX
05
—
419589302
—
TX
05
—
419589303
—
TX
Enumeration date
09/01/2014
Last updated
03/09/2024
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