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1164654653
CESAR OCTAVIO NIETO
KINGWOOD, TX
NPI
1164654653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX 346)
Enumeration Date
2009-08-17
Last Update Date
2009-08-17
Business Address
-- CESAR OCTAVIO NIETO OPAC
601 ROCKMEAD
KINGWOOD, TX 77339
Phone number: 281-359-5115
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Mailing Address
-- CESAR OCTAVIO NIETO OPAC
7401 S. MAIN
HOUSTON, TX 77030
Phone number: 713-799-2300
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