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Individual
JOE B VENTIMIGLIA
Active
Individual
JOE B VENTIMIGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K0231
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133567102
—
TX
05
—
133567109
—
TX
01
—
K0231
STATE MD LICENSE NO
TX
Enumeration date
07/07/2006
Last updated
01/07/2024
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