Individual
JIMAN C NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
2400 MID LN STE 350, HOUSTON, TX 77027-4466
(713) 714-4245
Mailing address
2400 MID LN STE 350, HOUSTON, TX 77027-4466
(713) 714-4245
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35543
TX
122300000X
Dentist
4007-18
MS
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/09/2018
Last updated
02/12/2024
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