Individual
DR. NISHA JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17742 PRESTON RD, DALLAS, TX 75252-6199
(972) 702-7546
(214) 975-3961
Mailing address
17742 PRESTON RD, DALLAS, TX 75252-6199
(972) 702-7546
(214) 975-3961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M1789
TX
207R00000X
Internal Medicine Physician
M1789
TX
208100000X
Physical Medicine & Rehabilitation Physician
M1789
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
M1789
TX
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
M1789
TX
208D00000X
General Practice Physician
M1789
TX
208VP0000X
Pain Medicine Physician
M1789
TX
208VP0014X
Interventional Pain Medicine Physician
M1789
TX
Other
Enumeration date
11/19/2007
Last updated
01/04/2023
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