Individual
DEMACEO HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7515 GREENVILLE AVE STE 500, DALLAS, TX 75231-3849
(719) 598-8155
(719) 598-3188
Mailing address
1700 CEDAR SPRINGS RD APT 1413, DALLAS, TX 75202-1213
(309) 363-0485
(719) 598-3188
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
S2344
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
S2344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084320
—
TX
01
—
F28056
MEDICARE UPIN
TX
Enumeration date
03/10/2006
Last updated
07/18/2019
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