Individual
MAX GERALD GAROUTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H9639
TX
207RC0000X
Cardiovascular Disease Physician
Primary
H9639
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085790601
—
TX
01
—
3063865
CIGNA
—
01
—
45D0955862
CLIA
TX
01
—
752646025
TAX ID
—
01
—
83Z820
BCBS
TX
Enumeration date
06/23/2005
Last updated
03/24/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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