Organization
UTMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TITO M ORIG M.D. (PHYSICIAN)
(972) 225-1304
Entity
Organization
Contact information
Practice address
1500 E LANGDON RD, DALLAS, TX 75241-7136
(972) 225-1304
Mailing address
1500 E LANGDON RD, DALLAS, TX 75241-7136
(972) 225-1304
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
F8599
TX
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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