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NPI Code Detail

MEDICARE: ALISTAIR SAMBA MACHOKA RRT RESPIRATORY

MEDICARE:   ALISTAIR SAMBA MACHOKA  RRT RESPIRATORY
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
12279C0205XCritical Care Registered Respiratory Therapist67302TX

General Provider Information

NPI Number : 1841275021
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISTAIR SAMBA MACHOKA RRT RESPIRATORY
Provider Business Mailing Address
First Line : 527 DERBY LN
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77489-3228
Country : US
Telephone Number : 281-788-2654
Fax Number :
Provider Business Practice Location Address
First Line : 527 DERBY LN
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77489-3228
Country : US
Telephone Number : 281-788-2654
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2005
Last Update Date : 07/08/2007

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Directions to “ ALISTAIR SAMBA MACHOKA RRT RESPIRATORY” Practice Location

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