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General NPI Number Information
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NPI Number | 1821095639
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Entity Type | Individual
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Provider Name | MICHAEL LOUIS EISEMANN MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 11/05/2024
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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 |
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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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | E9185
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | E9185
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | E9185
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License Number State | TX
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