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NPI Code Detail

MEDICARE: PREMIER ORTHOPEDIC SURGERY & SPINE HEALTH PLLC

MEDICARE: PREMIER ORTHOPEDIC SURGERY & SPINE HEALTH PLLC
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
1207XS0117XOrthopaedic Surgery of the Spine Physician

General Provider Information

NPI Number : 1659207769
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER ORTHOPEDIC SURGERY & SPINE HEALTH PLLC
Provider Business Mailing Address
First Line : 1415 S VOSS RD STE 110
Second Line : #466
City : HOUSTON
State : TX
Zip : 77057-1000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9230 KATY FWY STE 550
Second Line :
City : HOUSTON
State : TX
Zip : 77055-7470
Country : US
Telephone Number : 713-766-2596
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. LEONARD K KIBUULE
Credential : MD
Telephone Number : 817-897-2303
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “PREMIER ORTHOPEDIC SURGERY & SPINE HEALTH PLLC ” Practice Location

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