Provider Demographics
NPI:1437564226
Name:NIETO-SANCHEZ, JAVIER ARMANDO (CSA)
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:ARMANDO
Last Name:NIETO-SANCHEZ
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 N BRAESWOOD BLVD APT 3324
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-2373
Mailing Address - Country:US
Mailing Address - Phone:832-305-5284
Mailing Address - Fax:
Practice Address - Street 1:2900 N BRAESWOOD BLVD APT 3324
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-2373
Practice Address - Country:US
Practice Address - Phone:832-305-5284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant