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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