MEDICARE: NICHE PHYSICIANS BILLING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	N5184	TX

General Provider Information

NPI Number	:	1215238944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NICHE PHYSICIANS BILLING LLC

Provider Business Mailing Address
First Line	:	1400 MCKINNEY ST
Second Line	:	#2209
City	:	HOUSTON
State	:	TX
Zip	:	77010-4023
Country	:	US
Telephone Number	:	713-277-4035
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 MCKINNEY ST
Second Line	:	#2209
City	:	HOUSTON
State	:	TX
Zip	:	77010-4023
Country	:	US
Telephone Number	:	713-277-4035
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	ANGELA LEDBETTER
Credential	:	M.D.
Telephone Number	:	713-277-4035

Provider Enumeration Date	:	11/11/2010
Last Update Date	:	11/11/2010

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Directions to “NICHE PHYSICIANS BILLING LLC ” Practice Location

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