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Organization
NORTHWEST INFECTIOUS DISEASE AND TRAVEL MEDICINE, P.A.
Active
Organization
NORTHWEST INFECTIOUS DISEASE AND TRAVEL MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PORNTHEP WATTANAMANO M.D. (PRESIDENT)
(713) 384-3229
Entity
Organization
Contact information
Practice address
5509 CORNISH ST., HOUSTON, TX 77007-4303
(713) 831-5089
(713) 360-7715
Mailing address
5509 CORNISH ST., HOUSTON, TX 77007-4303
(713) 831-5089
(713) 360-7715
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
TX
Other
Enumeration date
06/13/2005
Last updated
07/21/2022
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