Individual
DR. EDILBERTO R MIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
317 E 2ND STREET, DUMAS, TX 79029
(806) 935-9194
(806) 935-7261
Mailing address
PO BOX 558, 317 E 2ND STREET, DUMAS, TX 79029
(806) 935-9194
(806) 935-7261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G1116
TX
207RC0000X
Cardiovascular Disease Physician
G1116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035380701
—
TX
Enumeration date
11/29/2006
Last updated
07/06/2010
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