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Federico Maese Md Pa
Physiological Laboratory in Red Oak, Texas
NPI 1508136052

Federico Maese Md Pa is a Physiological Laboratory based in Red Oak, TX. Federico Maese Md Pa practices in Red Oak, TX. The NPI Number for Federico Maese Md Pa is 1508136052 and holds a License No. J4319 (Texas).

The current practice location address for Federico Maese Md Pa is 269 E Ovilla Rd Ste 100, Red Oak, TX and can be reached out via phone at 469-719-3690 and via fax at 469-719-3680. You can also correspond with Federico Maese Md Pa through the mailing address at 269 E OVILLA RD STE 100, RED OAK, TX - 75154-2616 (mailing address contact number: 469-719-3690).

Location: 269 E Ovilla Rd Ste 100, Red Oak, TX, 75154-2616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508136052
Provider Name
Federico Maese Md Pa
Credential
Provider Entity Type
Organization
Address
269 E Ovilla Rd Ste 100, Red Oak, TX, 75154-2616
Phone Number
469-719-3690
Fax Number
469-719-3680
Provider Enumeration Date
12/30/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J4319 01 TX LICENSE TX
131230801 05 TX
TXB145190 01 TX MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
269 E Ovilla Rd Ste 100
City
Red Oak
State
Texas
Zip
75154-2616
Phone Number
469-719-3690
Fax Number
469-719-3680
person
Provider Business Mailing Address Details
Address
269 E Ovilla Rd Ste 100
City
Red Oak
State
Texas
Zip
75154-2616
Phone Number
469-719-3690
Fax Number
469-719-3680
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
()
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 3
Type
Laboratories
Classification
Physiological Laboratory
Speciality
-
Taxonomy
293D00000X
License No.
J4319 (Texas)
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
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