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Martin Alejandro Chacon Portillo, MD
Student in an Organized Health Care Education/Training Program in Houston, Texas
NPI 1649769993

Martin Alejandro Chacon Portillo is a Student in an Organized Health Care Education/Training Program based in Houston, TX. Martin Alejandro Chacon Portillo practices in Houston, TX and has the professional credentials of MD. The NPI Number for Martin Alejandro Chacon Portillo is 1649769993 and holds a License No. 63503 (Texas).

The current practice location address for Martin Alejandro Chacon Portillo is 6410 Fannin St Ste 600, Houston, TX and can be reached out via phone at 940-594-7563 and via fax at 713-512-2242.

Location: 6410 Fannin St Ste 600, Houston, TX, 77030-5206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649769993
Provider Name
Martin Alejandro Chacon Portillo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6410 Fannin St Ste 600, Houston, TX, 77030-5206
Phone Number
940-594-7563
Fax Number
713-512-2242
Provider Enumeration Date
05/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R76710 01 AZ MD/RESIDENT/TEMP LICENSE
institution
Provider Business Practice Location Address Details
Address
6410 Fannin St Ste 600
City
Houston
State
Texas
Zip
77030-5206
Phone Number
940-594-7563
Fax Number
713-512-2242
person
Provider Business Mailing Address Details
Address
6410 Fannin St Ste 600
City
Houston
State
Texas
Zip
77030-5206
Phone Number
940-594-7563
Fax Number
713-512-2242
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
U5366 (Texas)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
63503 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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