Organization
THEODORE JOSEPH TRUMBLE II MD PA
Active
Organization
THEODORE JOSEPH TRUMBLE II MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE JOSEPH TRUMBLE II M.D. (OWNER)
(281) 734-9268
Entity
Organization
Contact information
Practice address
7887 CAMBRIDGE ST, HOUSTON, TX 77054-2013
(281) 734-9268
(713) 218-7635
Mailing address
PO BOX 2507, HOUSTON, TX 77252-2507
(281) 734-9268
(713) 218-7635
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
J1150
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019PS
BLUE CROSS BLUE SHIELD
TX
05
—
189501301
—
TX
Enumeration date
08/18/2006
Last updated
06/10/2009
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