NPI 1659860823 · live from the CMS NPI Registry
Niccale Tenika Alibin
Podiatrist in Jourdanton, TX. National Provider Identifier 1659860823, active.
NPI record
| NPI | 1659860823 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 180 County Road 300, Jourdanton, TX 78026 |
| Practice phone | 847-790-3618 |
| Mailing address | 168 N Clinton St Fl 3, Chicago, IL 60661 |
| Enumerated | May 3, 2018 |
| Last updated | July 13, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 3083 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.