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General NPI Number Information
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NPI Number | 1023220647
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Entity Type | Organization
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Legal Business Name | PAK SURGICAL ASSISTANTS LP
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5602 MEDICAL CENTER DR
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City | KATY
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State | TX
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Zip | 77494-6325
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Country | US
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Telephone | 281-578-7122
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 941119
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City | HOUSTON
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State | TX
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Zip | 77094-8119
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ALBERT J TENORIO
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Credential | LSA
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Telephone | 281-578-7122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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