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General NPI Number Information
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NPI Number | 1023328424
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Entity Type | Organization
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Legal Business Name | SOUTHWEST WOMEN'S HEALTH SPECIALISTS, P.A
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 6699 ROOKIN ST
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City | HOUSTON
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State | TX
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Zip | 77074-5015
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Country | US
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Telephone | 713-773-1667
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Fax |
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Provider Business Mailing Address
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Address Line | 6699 ROOKIN ST
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City | HOUSTON
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State | TX
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Zip | 77074-5015
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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 | OWNER
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Name | CARLOS MAYO
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Credential | M.D.
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Telephone | 713-773-1667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | K3329
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License Number State | TX
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