Provider Demographics
NPI:1982718433
Name:NSIEN, EPHRAIM (MD)
Entity Type:Individual
Prefix:DR
First Name:EPHRAIM
Middle Name:
Last Name:NSIEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16107 KENSINGTON DR
Mailing Address - Street 2:SUITE 136
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4224
Mailing Address - Country:US
Mailing Address - Phone:832-321-3008
Mailing Address - Fax:832-321-5795
Practice Address - Street 1:701 S FRY RD
Practice Address - Street 2:SUITE 220
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2255
Practice Address - Country:US
Practice Address - Phone:832-321-3008
Practice Address - Fax:832-321-5795
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101037557207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX187382002Medicaid
P00667889OtherMEDICARE RAILROAD
TX8BT280OtherBCBS
TX8F9302Medicare PIN