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NPI Code Detail

MEDICARE: DR. MICHAEL ANGELO MINEO DPM

MEDICARE:  DR. MICHAEL ANGELO MINEO  DPM
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
1213ES0103XFoot & Ankle Surgery Podiatrist0391TX

Other Identifiers

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

General Provider Information

NPI Number : 1487636387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ANGELO MINEO DPM
Provider Business Mailing Address
First Line : 6699 CHIMNEY ROCK RD
Second Line : SUITE #102
City : HOUSTON
State : TX
Zip : 77081-5358
Country : US
Telephone Number : 713-668-7583
Fax Number : 713-668-5140
Provider Business Practice Location Address
First Line : 6699 CHIMNEY ROCK RD
Second Line : SUITE #102
City : HOUSTON
State : TX
Zip : 77081-5358
Country : US
Telephone Number : 713-668-7583
Fax Number : 713-668-5140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 05/15/2014

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