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General NPI Number Information
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NPI Number | 1013525880
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Entity Type | Organization
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Legal Business Name | ADVANCED GASTROENTEROLOGY AND NUTRITION OF TEXAS PLLC
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Dates
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Enumeration Date | 07/17/2020
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 2255 E MOSSY OAKS RD STE 500
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City | SPRING
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State | TX
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Zip | 77389-1813
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Country | US
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Telephone | 214-506-1136
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Fax | 214-705-3786
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Provider Business Mailing Address
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Address Line | 27211 ASHFORD SKY LN
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City | KATY
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State | TX
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Zip | 77494-3715
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Country | US
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Telephone | 214-506-1136
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Fax | 214-705-3786
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Authorized Official
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Title or Position | OWNER
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Name | AMIR R AHMED
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Credential | MD
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Telephone | 832-622-6621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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