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Individual

EVERETT NIEVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2501 PAREDES LINE RD, STE A10, BROWNSVILLE, TX 78526-1193
(956) 544-4700
Mailing address
1201 CALLE MILAGROS, BROWNSVILLE, TX 78526-1361
(956) 544-4700
(956) 544-4774

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L0880
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142274302
TX
Enumeration date
04/27/2006
Last updated
05/02/2011
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