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Organization

MDACC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTONIO DI STASI M.D. (FELLOW)
(832) 824-1632
Entity
Organization

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(832) 824-1632
Mailing address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(832) 824-1632

Taxonomy

Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
BP10044596
TX

Other

Enumeration date
07/30/2012
Last updated
07/30/2012
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