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Individual

DR. SAFI BUTROS MADAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
500 W MEDICAL CENTER BLVD, WEBSTER, TX 77598-4220
(281) 209-8921
Mailing address
PO BOX 200993, HOUSTON, TX 77216-0993

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P0629
TX
390200000X
Student in an Organized Health Care Education/Training Program
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000302
LA
01
1346419488
TRICARE SOUTH
TX
05
300873201
TX
01
8DF719
BCBS
TX
Enumeration date
02/22/2008
Last updated
10/09/2012
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