Individual
MADISON NIEBERLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9230 KATY FWY STE 600, HOUSTON, TX 77055-7468
(713) 297-0700
Mailing address
9230 KATY FREEWAY, SUITE 600, HOUSTON, TX 77055
(713) 297-0700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA14263
TX
363AM0700X
Medical Physician Assistant
Primary
PA14263
TX
363AS0400X
Surgical Physician Assistant
PA14263
TX
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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