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Individual

FEDERICO ALBERTO MONZON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5008 CRAWFORD ST, HOUSTON, TX 77004-5735
(713) 829-7958
Mailing address
5008 CRAWFORD ST, HOUSTON, TX 77004-5735
(713) 829-7958

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD418604
PA
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
M8848
TX
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
MD418604
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M8848
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD418604
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001956529
PA
01
8K7025
MEDICARE
TX
Enumeration date
02/17/2006
Last updated
03/04/2021
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