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Organization
HUNTSVILLE PHYSICAL MEDICINE INSTITUTE PA
Active
Organization
HUNTSVILLE PHYSICAL MEDICINE INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISNARDO E TREMOR MD (OWNER)
(936) 291-2111
Entity
Organization
Contact information
Practice address
901 NORMAL PARK DR, SUITE 201, HUNTSVILLE, TX 77320-3770
(936) 291-2111
(936) 291-0665
Mailing address
901 NORMAL PARK DR, SUITE 201, HUNTSVILLE, TX 77320-3770
(936) 291-2111
(936) 291-0665
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
K1707
TX
332B00000X
Durable Medical Equipment & Medical Supplies
K1707
TX
363L00000X
Nurse Practitioner
—
TX
Other
Enumeration date
03/20/2013
Last updated
10/01/2013
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