Individual
DR. KIRSTEN GIBBS NIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4900 MUELLER BLVD, UT SOUTHWESTERN AUSTIN PEDIATRICS, AUSTIN, TX 78723-3079
(888) 323-7277
(512) 324-0786
Mailing address
12017 PALISADES PKWY, AUSTIN, TX 78732-1243
(713) 870-1465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TMB N8049
TX
208000000X
Pediatrics Physician
Primary
N8049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321953701
—
TX
Enumeration date
06/23/2008
Last updated
01/31/2014
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