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General NPI Number Information
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NPI Number | 1891614244
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Entity Type | Organization
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Legal Business Name | PREMIER ORTHOPEDIC & SPINE MANAGEMENT
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 6002 ROGERDALE RD STE 175
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City | HOUSTON
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State | TX
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Zip | 77072-1662
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Country | US
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Telephone | 713-766-2596
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 S VOSS RD STE 110 466
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City | HOUSTON
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State | TX
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Zip | 77057-1000
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Country | US
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Telephone | 817-897-2303
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Fax | 281-833-9924
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEONARD KIBUULE
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Credential | MD
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Telephone | 817-897-2303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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