Individual
NIKKI IAN DIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7929 BROOKRIVER DR STE 770, DALLAS, TX 75247-4900
(214) 838-7975
Mailing address
7929 BROOKRIVER DR STE 770, DALLAS, TX 75247-4900
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2174356
TX
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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