Individual
DR. RAYMOND MICHAEL NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEDICAL DR, LAKE JACKSON, TX 77566-5674
(979) 297-4411
(979) 299-2878
Mailing address
100 MEDICAL DR, LAKE JACKSON, TX 77566-5674
(979) 297-4411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
S5452
TX
208M00000X
Hospitalist Physician
Primary
S5452
TX
Other
Enumeration date
06/12/2013
Last updated
12/16/2025
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