Organization
COMPLETE INFECTIOUS DISEASES CARE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VITALY GOLUB MD (OWNER)
(646) 244-8857
Entity
Organization
Contact information
Practice address
11803 SOUTH FWY STE 202, BURLESON, TX 76028-7029
(646) 244-8857
Mailing address
PO BOX 1841, COLLEYVILLE, TX 76034-1841
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
P6399
TX
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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