MEDICARE: REUBEN DANIEL VADUVA

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	146N00000X	Basic Emergency Medical Technician	792511	TX

General Provider Information

NPI Number	:	1942134655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REUBEN DANIEL VADUVA

Provider Business Mailing Address
First Line	:	200 SUMMIT DR
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77303-1561
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16321 LOCH KATRINE LN STE D10
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-2970
Country	:	US
Telephone Number	:	713-787-5455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “ REUBEN DANIEL VADUVA ” Practice Location

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