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NPI Code Detail

MEDICARE: NINA JANNETTI D.O.

MEDICARE: NINA JANNETTI D.O.
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
1152W00000XOptometrist03055TGTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043269418
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA JANNETTI D.O.
Provider Business Mailing Address
First Line : 7710 BEECHNUT ST
Second Line : SUITE 100
City : HOUSTON
State : TX
Zip : 77074-3100
Country : US
Telephone Number : 713-777-7145
Fax Number : 713-337-4803
Provider Business Practice Location Address
First Line : 7710 BEECHNUT ST
Second Line : SUITE 100
City : HOUSTON
State : TX
Zip : 77074-3100
Country : US
Telephone Number : 713-777-7145
Fax Number : 713-337-4803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 10/06/2010

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Directions to “ NINA JANNETTI D.O.” Practice Location

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