Individual
DR. MEYNARD MORRIE NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
9740 BARKER CYPRESS RD, STE 108B, CYPRESS, TX 77433-1974
(832) 781-2690
(832) 409-3169
Mailing address
9740 BARKER CYPRESS RD, STE 108B, CYPRESS, TX 77433-1974
(832) 781-2690
(832) 409-3169
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018796501
—
TX
01
—
0456
STATE LICENSE NUMBER
TX
Enumeration date
09/05/2006
Last updated
12/10/2018
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