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NPI Code Detail

MEDICARE: MR. FERNANDO URRUTIA MD

MEDICARE:  MR. FERNANDO  URRUTIA  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
1207RG0100XGastroenterology PhysicianH-5292TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38FT507OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1952336299
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FERNANDO URRUTIA MD
Provider Business Mailing Address
First Line : 6550 FANNIN ST STE 1201
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2740
Country : US
Telephone Number : 713-441-3372
Fax Number : 713-797-0622
Provider Business Practice Location Address
First Line : 6550 FANNIN ST STE 1201
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2740
Country : US
Telephone Number : 713-441-3372
Fax Number : 713-797-0622
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 08/15/2016

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Directions to “ MR. FERNANDO URRUTIA MD” Practice Location

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