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Contact Information

KEITH D VASSALLO, MD
8233 N SAM HOUSTON PKWY E
HUMBLE, TX77396
 Phone: 713-442-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KEITH D VASSALLO · (Male)

NPI # 1205922499
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2006
Last updated 10/24/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • TX License # K5059
  • TX Medicaid 151834201
  • TX Medicaid 151834202
  • TX Medicaid 151834203
  • TX Medicaid 151834204
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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