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General NPI Number Information
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NPI Number | 1275595985
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Entity Type | Individual
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Provider Name | BOBBY NIEMANN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 18955 N MEMORIAL DR STE 360
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City | HUMBLE
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State | TX
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Zip | 77338-4396
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Country | US
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Telephone | 281-319-8530
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Fax | 281-319-8570
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Provider Business Mailing Address
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Address Line | 920 FROSTWOOD DR STE 2.300
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City | HOUSTON
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State | TX
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Zip | 77024-2314
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 12361745-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | E4566
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License Number State | TX
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