Individual
HANS M VONMARENSDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HARBORSIDE DR, GALVESTON, TX 77555-0001
(409) 772-2222
(409) 772-0885
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-1022
(409) 747-0890
(409) 772-0885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J0716
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116889002
—
TX
01
—
8BC332
BCBS
TX
Enumeration date
12/13/2006
Last updated
05/18/2023
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