Provider Demographics
NPI:1043280381
Name:NEIMAN, ABIGAIL REBECCA (MD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:REBECCA
Last Name:NEIMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:902 FROSTWOOD DR
Mailing Address - Street 2:SUITE 311
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2420
Mailing Address - Country:US
Mailing Address - Phone:713-932-0054
Mailing Address - Fax:713-932-0413
Practice Address - Street 1:902 FROSTWOOD DR
Practice Address - Street 2:SUITE # 311
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2420
Practice Address - Country:US
Practice Address - Phone:713-932-0054
Practice Address - Fax:713-932-0413
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK9626207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX152395301Medicaid
TXK9626OtherLICENSE NUMBER
TX0002JEOtherBLUE CROSS BLUE SHIELD
TX660003822OtherRAILROAD MEDICARE
TX45D1017258OtherCLIA ID NUMBER
TX7715345OtherAETNA
TX2011482OtherUNITED HEALTHCARE
TXK9626OtherLICENSE NUMBER
TX152395301Medicaid