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General NPI Number Information
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NPI Number | 1659600336
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Entity Type | Organization
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Legal Business Name | MICHAEL L. EISEMANN, M.D.,P.A.,F.A.C.S.
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Dates
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Enumeration Date | 12/09/2009
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 6550 FANNIN ST STE 2119
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City | HOUSTON
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State | TX
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Zip | 77030-2717
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Country | US
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Telephone | 713-790-1771
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Fax | 713-790-0575
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Provider Business Mailing Address
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Address Line | 6550 FANNIN ST STE 2119
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City | HOUSTON
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State | TX
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Zip | 77030-2717
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Country | US
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Telephone | 713-790-1771
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Fax | 713-790-0575
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL L EISEMANN
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Credential | MD
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Telephone | 713-790-1771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | E9185
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License Number State | TX
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