Organization
MADISON EAST INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL VILLAROSA GARCIA MD (PHYSICIAN)
(662) 448-6213
Entity
Organization
Contact information
Practice address
1002 E MADISON ST, HOUSTON, MS 38851-2417
(662) 448-6213
(662) 448-6215
Mailing address
PO BOX 648, HOUSTON, MS 38851-0648
(662) 448-6213
(662) 448-6215
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126007
—
MS
Enumeration date
04/10/2007
Last updated
11/12/2009
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