Roxana Nieto

Physician assistant in Odessa, Texas · NPI 1265083869

Roxana Nieto is one of 63 physician assistants practicing in Odessa, Texas. Roxana Nieto practices with Suresh Prasad MD PA.

Registry record (NPPES)

NPI: 1265083869
Type: Type 1 · Individual
Primary taxonomy: Physician Assistant, Medical · 363AM0700X
Address on file: 403 Pittsburg Ave
Odessa, TX 79761-5224
(432) 332-3400
Enumerated: Sep 25, 2019
Record last updated: Mar 24, 2021
License states listed: TX

Medicare (CMS)

Enrollment: Medicare-enrolled in TX
Physician Assistant
Revalidation due: No date set by CMS

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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history

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Practice locations

403 Pittsburg Ave
Odessa, TX 79761
(432) 332-3400

More physician assistants in Odessa

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.