| Dtl Medical Management Llc | |
|
2820 S Cotswold Manor Dr Kingwood TX 77339 | |
| (281) 593-1500 | |
| (281) 593-1506 |
| Full Name | Dtl Medical Management Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2820 S Cotswold Manor Dr, Kingwood, Texas |
| Authorized Official Name and Position | Duc M Le (MEMBER) |
| Authorized Official Contact | 2815931500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtl Medical Management Llc 2820 S Cotswold Manor Dr Kingwood TX 77339 Ph: (281) 593-1500 | Dtl Medical Management Llc 2820 S Cotswold Manor Dr Kingwood TX 77339 Ph: (281) 593-1500 |
| NPI Number | 1174936348 |
|---|---|
| Provider Enumeration Date | 06/05/2014 |
| Last Update Date | 06/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174936348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M8117 (Texas) | Primary |
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