Organization
ASP CENTERS FOR DIABETIC MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRIOS MANTZOROS DPM (DPM, PARTNER)
(281) 298-6665
Entity
Organization
Contact information
Practice address
116 MEDICAL PARK LN, SUITE B, HUNTSVILLE, TX 77340-4978
(713) 554-7500
(713) 554-7510
Mailing address
3040 POST OAK BLVD, SUITE 1230, HOUSTON, TX 77056-6500
(713) 554-7500
(713) 554-7510
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1068
TX
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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