Individual
DONALD R NINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15055 EAST FWY, SUITE A-10, CHANNELVIEW, TX 77530-4144
(281) 452-4747
(281) 457-2762
Mailing address
15055 EAST FWY, SUITE A-10, CHANNELVIEW, TX 77530-4144
(281) 452-4747
(281) 457-2762
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G5432
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00QE88
BC
TX
05
—
0354425-02
—
TX
05
—
1696429-01
—
TX
01
—
DB6917
MC RR GROUP
TX
01
—
P00122040
MC RR INDIV
TX
Enumeration date
08/24/2005
Last updated
01/18/2022
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