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Organization
JOSIER M. NISNISAN MD, PLLC
Active
Organization
JOSIER M. NISNISAN MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSIER M. NISNISAN MD (MEDICAL DIRECTOR)
(281) 201-2096
Entity
Organization
Contact information
Practice address
1400 CREEK WAY DR STE 201A, SUGAR LAND, TX 77478-4073
(281) 201-2096
(281) 759-6447
Mailing address
1400 CREEK WAY DR STE 201A, SUGAR LAND, TX 77478-4073
(281) 201-2096
(281) 759-6447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L4079
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079LB
BC/BS
TX
01
—
11047209
CAQH PROVIDER NO.
TX
05
—
168440901
—
TX
Enumeration date
07/01/2006
Last updated
09/25/2023
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