Nicole Kristen Nieman, MD | |
4100 W University Dr, Prosper, TX 75078-3123 | |
(945) 204-4100 | |
(682) 885-1903 |
Full Name | Nicole Kristen Nieman |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 4100 W University Dr, Prosper, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881221810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | U7026 (Texas) | Primary |
208000000X | Pediatrics | U7026 (Texas) | Secondary |
Entity Name | Cook Childrens Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
Mailing Address | Practice Location Address |
---|---|
Nicole Kristen Nieman, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Nicole Kristen Nieman, MD 4100 W University Dr, Prosper, TX 75078-3123 Ph: (945) 204-4100 |
Dai Nguyen, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 | |
Dr. Yetunde Olabosipo Kare-opaneye, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 | |
Dr. Yolande Mfondoum Pengetnze, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 | |
Kristi K Goodson, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 |