Individual
MIGUEL GERARDO FABREGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(716) 500-7700
Mailing address
6431 FANNIN ST, MSB 2.130, HOUSTON, TX 77030-1501
(713) 500-7640
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P3318
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005371
—
LA
05
—
321322501
—
TX
Enumeration date
03/07/2008
Last updated
08/16/2018
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