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Individual

FABIO G AGLIECO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
513 S COLUMBIA DR, WEST COLUMBIA, TX 77486-3025
(979) 345-6522
(979) 345-4922
Mailing address
PO BOX 2660, BAY CITY, TX 77404-2660
(979) 345-6522
(979) 345-4922

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N7986
TX
207RN0300X
Nephrology Physician
046940
CT
207RN0300X
Nephrology Physician
Primary
N7986
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
281158001
TX
Enumeration date
12/03/2008
Last updated
03/30/2023
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