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NPI Code Detail

MEDICARE: DOUGLAS F BIEDIGER P.A.

MEDICARE: DOUGLAS F BIEDIGER P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA01681TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
189N850OTHERTXBCBSTX PROV NO
21134104987OTHERTXTRICARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134104987
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS F BIEDIGER P.A.
Provider Business Mailing Address
First Line : PO BOX 200993
Second Line :
City : HOUSTON
State : TX
Zip : 77216-0993
Country : US
Telephone Number : 281-784-1111
Fax Number : 281-784-1555
Provider Business Practice Location Address
First Line : 4000 SPENCER HWY
Second Line :
City : PASADENA
State : TX
Zip : 77504-1202
Country : US
Telephone Number : 713-359-2000
Fax Number : 713-359-1004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 06/19/2013

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Directions to “ DOUGLAS F BIEDIGER P.A.” Practice Location

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