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Individual
DR. MALCOLM H BREMER
Active
Individual
DR. MALCOLM H BREMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
E5010
TX
2086S0129X
Vascular Surgery Physician
E5010
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E5010
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061900224
RAILROAD MEDICARE
TX
01
—
10015423
AMERIGROUP
TX
05
—
133933503
—
TX
01
—
74066451 77338 A001
TRICARE
TX
Enumeration date
06/01/2005
Last updated
01/20/2015
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