Provider Demographics
NPI:1710175302
Name:PEYROT, NINA O'TOOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:NINA
Middle Name:O'TOOLE
Last Name:PEYROT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:NINA
Other - Middle Name:JUNE
Other - Last Name:O'TOOLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 376
Mailing Address - Street 2:
Mailing Address - City:SADLER
Mailing Address - State:TX
Mailing Address - Zip Code:76264-0376
Mailing Address - Country:US
Mailing Address - Phone:903-564-9246
Mailing Address - Fax:
Practice Address - Street 1:29410 US HIGHWAY 82
Practice Address - Street 2:
Practice Address - City:WHITESBORO
Practice Address - State:TX
Practice Address - Zip Code:76273-4996
Practice Address - Country:US
Practice Address - Phone:903-564-9246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10539111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor