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General NPI Number Information
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NPI Number | 1023387859
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Entity Type | Organization
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Legal Business Name | MHMR OF TEXAS CORP
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 10333 HARWIN DR #322
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City | HOUSTON
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State | TX
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Zip | 77036-1545
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Country | US
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Telephone | 281-578-0019
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Fax | 888-767-6398
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Provider Business Mailing Address
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Address Line | 10333 HARWIN DR #322
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City | HOUSTON
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State | TX
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Zip | 77036-1545
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Country | US
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Telephone | 281-578-0019
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Fax | 888-767-6398
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Authorized Official
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Title or Position | CEO
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Name | MR. YEMU ROLAND JOHNSON
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Credential |
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Telephone | 832-332-7278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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