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General NPI Number Information
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NPI Number | 1013826221
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Entity Type | Organization
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Legal Business Name | GULFCOAST ANDROLOGY, LLC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 7900 FANNIN ST STE 3100
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City | HOUSTON
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State | TX
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Zip | 77054-2934
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Country | US
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Telephone | 713-405-1370
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Fax | 713-405-1371
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Provider Business Mailing Address
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Address Line | 6006 MOWAMBA TERRACE LN
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City | SUGAR LAND
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State | TX
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Zip | 77479-7044
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Country | US
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Telephone | 281-881-5634
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Fax | 713-405-1371
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SUBODH CHAUHAN
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Credential | MD
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Telephone | 281-881-5634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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