Provider Demographics
NPI:1457525917
Name:NELSON SPINETTI MD PA
Entity Type:Organization
Organization Name:NELSON SPINETTI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:J
Authorized Official - Last Name:SPINETTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-682-2244
Mailing Address - Street 1:2707 CORNERSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8464
Mailing Address - Country:US
Mailing Address - Phone:956-682-2244
Mailing Address - Fax:956-682-4505
Practice Address - Street 1:2707 CORNERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8464
Practice Address - Country:US
Practice Address - Phone:956-682-2244
Practice Address - Fax:956-682-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL85162080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric GastroenterologyGroup - Single Specialty