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NPI Code Detail

MEDICARE: MIGUEL ALBINO MD

MEDICARE: MIGUEL ALBINO 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
1207RX0202XMedical Oncology PhysicianQ7825TX
2207R00000XInternal Medicine Physician18296PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01752684OTHERTXRAILROAD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205060746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIGUEL ALBINO MD
Provider Business Mailing Address
First Line : PO BOX 911230
Second Line :
City : DALLAS
State : TX
Zip : 75391-1230
Country : US
Telephone Number : 972-997-8000
Fax Number : 972-234-2987
Provider Business Practice Location Address
First Line : 12221 RENFERT WAY STE 300
Second Line :
City : AUSTIN
State : TX
Zip : 78758-5453
Country : US
Telephone Number : 512-873-8900
Fax Number : 512-873-8913
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2009
Last Update Date : 11/13/2024

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Directions to “ MIGUEL ALBINO MD” Practice Location

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