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NPI Code Detail

MEDICARE: NISAL CORPORATION

MEDICARE: NISAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TP2701XGroup Psychotherapy Psychologist
2111NX0100XOccupational Health Chiropractor
32083X0100XOccupational Medicine Physician
4225100000XPhysical Therapist

General Provider Information

NPI Number : 1023311230
Entity Type Code : Organization
Provider Name (Legal Business Name) : NISAL CORPORATION
Provider Business Mailing Address
First Line : PO BOX 24809
Second Line :
City : HOUSTON
State : TX
Zip : 77229-4809
Country : US
Telephone Number : 713-378-0667
Fax Number : 832-242-9515
Provider Business Practice Location Address
First Line : 2918 SAN JACINTO ST
Second Line : SUITE 200
City : HOUSTON
State : TX
Zip : 77004-2708
Country : US
Telephone Number : 713-652-3145
Fax Number : 713-652-3146
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : MS. CARMEN MANZO
Credential :
Telephone Number : 713-378-0667
Provider Enumeration Date : 12/09/2010
Last Update Date : 12/01/2011

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Directions to “NISAL CORPORATION ” Practice Location

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