Dtl Medical Management Llc

NPI 1174936348 - Family Medicine - 207Q00000X

NPI Details
NPI 1174936348
Enumeration Date 06/05/2014
Last Updated 06/05/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DUC M DUC
Position MEMBER
Phone (281) 593-1500
Fax (281) 593-1506
Practice Location
2820 S COTSWOLD MANOR DR
KINGWOOD TX, 77339, US
Phone (281) 593-1500
Fax (281) 593-1506
Business Location
2820 S COTSWOLD MANOR DR
KINGWOOD TX, 77339, US
Phone (281) 593-1500
Fax (281) 593-1506
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number M8117
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According to our database, Dtl Medical Management Llc NPI is 1174936348, taxonomy code is 207Q00000X and license number is M8117, license state is located at Texas. Dtl Medical Management Llc physically located at 2820 S Cotswold Manor Dr, Kingwood TX, 77339. NPI Number 1033115704 has the healthcare provider type.

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1174936348 NPI number is provided on an as is basis without warranty of any kind. 1174936348 is maintained by the National Plan & Provider Enumeration System. The contents of Dtl Medical Management Llc are for informational purposes only.