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Individual
DR. MARIA GLORIA FAMATIGAN
Active
Individual
DR. MARIA GLORIA FAMATIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L5730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1567414-01
—
TX
05
—
156741404
—
TX
01
—
310174YLPS
WELLMED PTAN
TX
01
—
45628777
MEDICAID - NEW MEXICO
NM
Enumeration date
07/07/2005
Last updated
06/13/2016
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