Healthcare Provider Details

I. General information

NPI: 1609307974
Provider Name (Legal Business Name): GERMAN CONTRERAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BLOSSOM ST
WEBSTER TX
77598-4204
US

IV. Provider business mailing address

6431 FANNIN ST STE 1.134
HOUSTON TX
77030-1501
US

V. Phone/Fax

Practice location:
  • Phone: 832-632-7539
  • Fax: 877-778-0820
Mailing address:
  • Phone: 713-500-6530
  • Fax: 713-500-6530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberV3847
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: