Individual
MARKUS GIACOMUZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
250 BLOSSOM ST, STE 100, WEBSTER, TX 77598-4204
(281) 604-1300
(281) 724-0225
Mailing address
250 BLOSSOM ST, STE 100, WEBSTER, TX 77598-4204
(281) 604-1300
(281) 724-0225
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0977
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039451202
—
TX
01
—
480035019
RAILROAD MEDICARE
TX
01
—
7108032
AETNA
TX
01
—
87582Z
HMO BLUE
TX
01
—
8F7828
BCBS
TX
Enumeration date
09/02/2005
Last updated
10/05/2016
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