Provider Demographics
NPI:1962426692
Name:NAMMOUR, NICOLAS MAHER (MD)
Entity type:Individual
Prefix:DR
First Name:NICOLAS
Middle Name:MAHER
Last Name:NAMMOUR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18300 KATY FWY
Mailing Address - Street 2:STE 405
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1114
Mailing Address - Country:US
Mailing Address - Phone:281-579-6800
Mailing Address - Fax:281-579-6804
Practice Address - Street 1:18300 KATY FWY
Practice Address - Street 2:STE 405
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1385
Practice Address - Country:US
Practice Address - Phone:281-579-6800
Practice Address - Fax:281-579-6804
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM58482084N0008X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183513402Medicaid
TX207027801Medicaid
0A3518Medicare UPIN
8F20821Medicare PIN
TX0A3518Medicare UPIN
TX00845AMedicare PIN