Individual
DR. PHILIP CIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 GESSNER RD, SUITE 550, HOUSTON, TX 77024-2545
(713) 467-1722
(713) 467-1704
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D4070
TX
207RX0202X
Medical Oncology Physician
D4070
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119040701
—
TX
05
—
119040702
—
TX
05
—
119040704
—
TX
05
—
119040705
—
TX
01
—
830002244
RAILROAD
—
01
—
8R1411
BLUE CROSS OF TEXAS
TX
Enumeration date
06/11/2006
Last updated
10/25/2011
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