# COMPLETE INFECTIOUS DISEASES CARE ASSOCIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417447012
- **Authorized official:** VITALY GOLUB MD (OWNER)
- **Authorized official phone:** (646) 244-8857

## Contact information

- **Practice address:** 11803 SOUTH FWY STE 202, BURLESON, TX 76028-7029
- **Practice address phone:** (646) 244-8857
- **Mailing address:** PO BOX 1841, COLLEYVILLE, TX 76034-1841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | P6399 | TX | Yes |

## Other

- **Enumeration date:** 05/18/2018
- **Last updated:** 05/18/2018