Vyacheslav B Golubov AA

NPI 1073899407 - Anesthesiologist Assistant - 367H00000X

NPI Details
NPI 1073899407
Gender Male
Enumeration Date 10/31/2011
Last Updated 10/31/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
20171 CHASEWOOD PARK DR
HOUSTON TX, 77070-1437, US
Phone (832) 534-5000
Fax
Business Location
4747 BELLAIRE BLVD
SUITE 580
BELLAIRE TX, 77401-4527, US
Phone (713) 659-3284
Fax (713) 664-2534
Toxanomy
Taxonomy Code 367H00000X
License State New York
License Number 1235
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According to our database, Vyacheslav B Golubov AA NPI is 1073899407, taxonomy code is 367H00000X and license number is 1235, license state is located at New York. Vyacheslav B Golubov AA physically located at 20171 Chasewood Park Dr, Houston TX, 77070-1437. NPI Number Vyacheslav B Golubov AA has the Individual type.

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1073899407 NPI number is provided on an as is basis without warranty of any kind. 1073899407 is maintained by the National Plan & Provider Enumeration System. The contents of Vyacheslav B Golubov AA are for informational purposes only.