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THADDEUS WILLIAM HUME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2000 CRAWFORD ST, SUITE 1510, HOUSTON, TX 77002
(713) 650-0111
(713) 650-1837
Mailing address
2000 CRAWFORD ST, SUITE 1510, HOUSTON, TX 77002
(713) 650-0111
(713) 650-1837

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F0526
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10014494
AMERIGROUP
TX
05
114468502
TX
01
182088300
ACS
TX
Enumeration date
08/08/2006
Last updated
01/31/2008
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