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NPI Code Detail

MEDICARE: JOSEPH MALIETO HEATH MD

MEDICARE: JOSEPH MALIETO HEATH 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
12084P0800XPsychiatry PhysicianP7928TX

General Provider Information

NPI Number : 1053854935
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSEPH MALIETO HEATH MD
Provider Business Mailing Address
First Line : 2032 TUAM ST
Second Line :
City : HOUSTON
State : TX
Zip : 77004-1349
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2001 LADBROOK DR
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-3004
Country : US
Telephone Number : 832-315-4328
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOSEPH HEATH
Credential : MD
Telephone Number : 832-315-4328
Provider Enumeration Date : 11/28/2016
Last Update Date : 11/28/2016

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