Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | K9626 | TX |
NPI | 1043280381 |
---|---|
Provider Name | Dr. Abigail Rebecca Neiman |
First Address | Houston, TX 77024-2420 |
Second Address | Houston, TX 77024-2420 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 18/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0002JE | BLUE CROSS BLUE SHIELD (01) | TX |
152395301 | (05) | TX |
2011482 | UNITED HEALTHCARE (01) | TX |
45D1017258 | CLIA ID NUMBER (01) | TX |
660003822 | RAILROAD MEDICARE (01) | TX |
7715345 | AETNA (01) | TX |
H11255 | (02) | TX |
K9626 | LICENSE NUMBER (01) | TX |