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General NPI Number Information
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NPI Number | 1023163326
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Entity Type | Organization
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Legal Business Name | HARRIS COUNTY PUBLIC HEALTH & ENVIRONMENTAL SERVICES - ANTOINE CLINIC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 11/14/2019
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Provider Practice Location Address
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Address Line | 5815 ANTOINE DR.
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City | HOUSTON
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State | TX
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Zip | 77091
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Country | US
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Telephone | 713-602-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 5815 ANTOINE DR.
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City | HOUSTON
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State | TX
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Zip | 77091
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Country | US
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Telephone | 281-447-2800
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. UMAIR A. SHAH
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Credential | MD, MPH
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Telephone | 713-439-6184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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