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NPI Code Detail

MEDICARE: MIDTOWN FAMILY MEDICINE

MEDICARE: MIDTOWN FAMILY MEDICINE
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
1207Q00000XFamily Medicine Physician

Other Identifiers

General Provider Information

NPI Number : 1831146794
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDTOWN FAMILY MEDICINE
Provider Business Mailing Address
First Line : 548 WAUGH DR
Second Line :
City : HOUSTON
State : TX
Zip : 77019-2002
Country : US
Telephone Number : 713-933-0501
Fax Number : 713-933-0505
Provider Business Practice Location Address
First Line : 548 WAUGH DR
Second Line :
City : HOUSTON
State : TX
Zip : 77019-2002
Country : US
Telephone Number : 713-933-0501
Fax Number : 713-933-0505
Authorized Official
Title or Position : PARTNER
Name : DR. ROLANDO R MALDONADO
Credential : MD
Telephone Number : 713-933-0501
Provider Enumeration Date : 05/27/2006
Last Update Date : 05/04/2010

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Directions to “MIDTOWN FAMILY MEDICINE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.