Nieves, Luis

Nieves, Luis is an individual health care provider with primary practice located at 1717 Precinct Line Rd Ste 204 , Hurst TX 76054-3169. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Nieves, Luis can be contacted via phone (855) 549-7246.

Contact Information

Primary practice address
1717 Precinct Line Rd Ste 204 Hurst TX 76054-3169
Phone: (855) 549-7246
Fax: (817) 514-1901
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X M7476 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X M7476 Texas

Profile Details

NPI number 1801089503
LBN Legal business name Nieves, Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2007
Last updated May 5th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801089503 NPPES
Texas MEDICAID 196884602

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