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General NPI Number Information
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NPI Number | 1023002524
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Entity Type | Organization
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Legal Business Name | RIVER OAKS SURGICAL CENTER, LLC
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 4120 SOUTHWEST FWY STE 100
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City | HOUSTON
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State | TX
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Zip | 77027-7339
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Country | US
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Telephone | 713-626-8500
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Fax | 713-626-8560
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Provider Business Mailing Address
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Address Line | 4120 SOUTHWEST FWY STE 100
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City | HOUSTON
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State | TX
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Zip | 77027-7339
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Country | US
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Telephone | 713-626-8500
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Fax | 713-626-8560
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JERRY DEESE
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Credential |
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Telephone | 713-626-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number |
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License Number State |
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