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Organization
COMPLETE INFECTIOUS DISEASES CARE ASSOCIATES, PLLC
Active
Organization
COMPLETE INFECTIOUS DISEASES CARE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VITALY GOLUB MD (OWNER)
(646) 244-8857
Entity
Organization
Contact information
Practice address
11803 SOUTH FWY STE 202, BURLESON, TX 76028-7029
(646) 244-8857
Mailing address
PO BOX 1841, COLLEYVILLE, TX 76034-1841
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
P6399
TX
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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