MEDICARE: MARANGELL AND AL JURDI PLLC

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
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1164084729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARANGELL AND AL JURDI PLLC

Provider Business Mailing Address
First Line	:	24 GREENWAY PLZ STE 2020
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77046-2445
Country	:	US
Telephone Number	:	713-489-5000
Fax Number	:	346-701-5261

Provider Business Practice Location Address
First Line	:	24 GREENWAY PLZ STE 2020
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77046-2445
Country	:	US
Telephone Number	:	713-489-5000
Fax Number	:	346-701-5261

Authorized Official
Title or Position	:	COORDINATOR
Name	:	GRETCHEN SCHNEIDER
Credential	:
Telephone Number	:	713-489-5000

Provider Enumeration Date	:	07/03/2019
Last Update Date	:	07/03/2019

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