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Individual

DR. DAVID TREMBLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18850 S MEMORIAL DR, HUMBLE, TX 77338-4288
(281) 446-7900
(281) 446-4879
Mailing address
1101 CLARITY RD, SUITE 100, MT PLEASANT, SC 29464-3138
(843) 606-4990
(843) 375-1480

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MMD 33822
SC
208600000X
Surgery Physician
MMD.33822 LL
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
338227
SC
05
GP2149
SC
05
GP2156
SC
05
GP2172
SC
05
GP5351
SC
05
GP5503
SC
Enumeration date
06/16/2011
Last updated
08/03/2016
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