Doctor Name: | NADIA NEKOOI |
NPI Number: | 1114196870 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | PA04571 |
Business Practice Address: | 6807 E.f. Lowry Expwy Ste 103 Texas City, TX - 77591 |
Business Phone Number: | 4099381770 |
Business Fax Number: | 4099380701 |
Mailing Address: | 6807 E.f. Lowry Expwy Ste 103, TEXAS CITY |
State: | TX |
Postal Code: | 77591 |
Phone Number: | 4099381770 |
Fax Number: | 4099380701 |
NPI Enumeration Date: | 02/27/2008 |
NPI Last Update Date: | 01/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA04571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |