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General NPI Number Information
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NPI Number | 1013105485
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Entity Type | Organization
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Legal Business Name | AIRLINE PEDIATRIC GROUP, PA
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Dates
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Enumeration Date | 10/10/2007
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 6035 AIRLINE DR STE 7
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City | HOUSTON
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State | TX
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Zip | 77076-4224
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Country | US
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Telephone | 713-694-9080
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Fax |
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Provider Business Mailing Address
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Address Line | 6035 AIRLINE DR STE 7
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City | HOUSTON
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State | TX
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Zip | 77076-4224
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Country | US
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Telephone | 713-694-9080
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANTZ JEAN-LOUIS
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Credential | M.D.
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Telephone | 713-694-9080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K0075
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License Number State | TX
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