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NPI Code Detail

MEDICARE: DR. JUAN A LLOMPART MD

MEDICARE: DR. JUAN A LLOMPART MD
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
1207RP1001XPulmonary Disease PhysicianF9742TX
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianF9742TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790893576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUAN A LLOMPART MD
Provider Business Mailing Address
First Line : 605 E SAN ANTONIO ST STE 414E
Second Line :
City : VICTORIA
State : TX
Zip : 77901-6011
Country : US
Telephone Number : 361-305-6111
Fax Number : 361-788-6666
Provider Business Practice Location Address
First Line : 605 E SAN ANTONIO ST STE 414E
Second Line :
City : VICTORIA
State : TX
Zip : 77901-6011
Country : US
Telephone Number : 361-305-6111
Fax Number : 361-788-6666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 08/01/2024

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