Individual
MILES RUDYARD MAASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6431 FANNIN ST STE JJL 431, HOUSTON, TX 77030-1501
(713) 500-7878
Mailing address
6431 FANNIN ST STE JJL 431, HOUSTON, TX 77030-1501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A19760
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2019
Last updated
10/11/2022
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