Individual
DR. MILTON J GUIBERTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3120 SOUTHWEST FWY, SUITE 530, HOUSTON, TX 77098-4509
(713) 627-9729
Mailing address
3120 SOUTHWEST FWY, SUITE 530, HOUSTON, TX 77098-4509
(713) 627-9729
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D8250
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129450603
—
TX
01
—
300036977
RAILROAD MEDICARE
TX
Enumeration date
03/27/2006
Last updated
10/22/2007
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