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Organization
SOUTHWEST TEXAS MEDICAL SERVICE
Active
Organization
SOUTHWEST TEXAS MEDICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADETOLA TALABI M.D. (OWNER)
(832) 607-6331
Entity
Organization
Contact information
Practice address
4103 LA BRANCH ST, HOUSTON, TX 77004-4822
(713) 691-7744
Mailing address
PO BOX 91159, HOUSTON, TX 77291-1159
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K4261
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135332810
—
TX
Enumeration date
05/14/2008
Last updated
05/14/2008
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