Individual
DR. MIGUEL VALDERRABANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6550 FANNIN ST, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
(713) 790-2643
Mailing address
6550 FANNIN ST, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
(713) 790-2643
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M5554
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
M5554
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185541301
—
TX
05
—
185541302
—
TX
05
—
185541303
—
TX
05
—
185541304
—
TX
05
—
185541305
—
TX
05
—
185541307
—
TX
05
—
1889636
—
LA
01
—
8W8474
BCBS
TX
01
—
P00433674
RAILROAD MEDICARE
TX
01
—
P01037080
RR MEDICARE
TX
01
—
P01402901
RR MEDICARE
TX
Enumeration date
06/14/2006
Last updated
01/10/2017
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