MEDICARE: DR. ERIC LEIGH NICASTRO DC

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
1	111N00000X	Chiropractor	0104556445	VA
2	111N00000X	Chiropractor	12981	TX

General Provider Information

NPI Number	:	1245323161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC LEIGH NICASTRO DC

Provider Business Mailing Address
First Line	:	19802 RINGWALD CT
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-5058
Country	:	US
Telephone Number	:	281-876-2500
Fax Number	:	281-876-2574

Provider Business Practice Location Address
First Line	:	367 GREENS RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-1903
Country	:	US
Telephone Number	:	281-445-6944
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	09/02/2022

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Directions to “ DR. ERIC LEIGH NICASTRO DC” Practice Location

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