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Organization
MALCOLM H. BREMER, M.D., P.A.
Active
Organization
MALCOLM H. BREMER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALCOLM H BREMER M.D. (OWNER)
(281) 446-6464
Entity
Organization
Contact information
Practice address
18955 N MEMORIAL DR STE 550, HUMBLE, TX 77338-4269
(281) 446-6464
(281) 446-7869
Mailing address
18955 N MEMORIAL DR STE 550, HUMBLE, TX 77338-4269
(281) 446-6464
(281) 446-7869
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
E5010
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E5010
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061900224
RAILROAD MEDICARE
TX
01
—
10015423
AMERIGROUP
TX
05
—
133933503
—
TX
05
—
156055901
—
TX
01
—
74066451 77338 A001
TRICARE
TX
Enumeration date
08/20/2006
Last updated
01/22/2015
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