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NPI Code Detail

MEDICARE: MR. AURELIO EMILIO BOVELL I

MEDICARE:  MR. AURELIO EMILIO BOVELL I
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
1171W00000XContractor

General Provider Information

NPI Number : 1346306503
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AURELIO EMILIO BOVELL I
Provider Business Mailing Address
First Line : 1010 GLENFORD DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77489-4158
Country : US
Telephone Number : 832-295-9410
Fax Number : 832-519-0976
Provider Business Practice Location Address
First Line : 2646 SOUTH LOOP W
Second Line : 635
City : HOUSTON
State : TX
Zip : 77054-2665
Country : US
Telephone Number : 832-295-9410
Fax Number : 832-519-0976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2006
Last Update Date : 07/08/2007

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Directions to “ MR. AURELIO EMILIO BOVELL I ” Practice Location

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