Individual
DENVER NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(832) 824-1873
Mailing address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-2923
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
R6856
TX
2080P0208X
Pediatric Infectious Diseases Physician
Primary
R6856
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2015
Last updated
08/22/2022
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