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Individual

DR. NICHOLAS JAMES DEFILIPPIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2411 FOUNTAIN VIEW DR, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, HOUSTON, TX 77057-4817
(713) 620-4000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP1-0022040
TX
207L00000X
Anesthesiology Physician
Primary
N2467
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206945202
TX
01
2795251762
MYUTMB 2795251762-COMMERCIAL NUMBER
01
8CL018
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/14/2007
Last updated
11/30/2010
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