Organization
TEXAS GULF CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL D DE OLIVEIRA MD (DIRECTOR)
(979) 292-0238
Entity
Organization
Contact information
Practice address
201 OAK DR S STE 203A, LAKE JACKSON, TX 77566-5777
(979) 292-0238
(979) 292-0238
Mailing address
201 OAK DR S STE 203A, LAKE JACKSON, TX 77566-5777
(979) 292-0238
(979) 292-0238
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
09/26/2007
Last updated
10/17/2007
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