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General NPI Number Information
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NPI Number | 1023662673
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Entity Type | Organization
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Legal Business Name | JUAN CARLOS ZUBIETA MD MPH PLLC
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Dates
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Enumeration Date | 07/31/2019
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 1485 FM 1960 BYPASS RD E STE 320
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City | HUMBLE
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State | TX
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Zip | 77338-3965
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Country | US
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Telephone | 832-644-9595
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6576
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City | KINGWOOD
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State | TX
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Zip | 77325-6576
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Country | US
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Telephone | 832-644-9595
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. JUAN CARLOS ZUBIETA
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Credential | MD MPH
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Telephone | 832-644-9595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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