Organization
ALLIANCE INJURY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE LUIS NIETO D.C. (CHIROPRACTOR)
(915) 329-8764
Entity
Organization
Contact information
Practice address
1700 N ZARAGOZA RD, EL PASO, TX 79936-7963
(915) 856-8100
Mailing address
1700 N ZARAGOZA RD, EL PASO, TX 79936-7963
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NR0200X
Radiology Chiropractor
10219
TX
111NR0400X
Rehabilitation Chiropractor
—
—
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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