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Individual

DR. CHAD ROBERT NIEMEYER

Active
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Individual

DR. CHAD ROBERT NIEMEYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD042805
DC
207R00000X
Internal Medicine Physician
Primary
Q4228
TX
208000000X
Pediatrics Physician
Q4228
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00399510
DRIVER'S LICENSE
TX
Enumeration date
06/14/2011
Last updated
05/18/2021
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