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General NPI Number Information
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NPI Number | 1033086772
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Entity Type | Organization
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Legal Business Name | HYPNOTIC ANESTHESIA PA
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Dates
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Enumeration Date | 10/18/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 2450 FONDREN RD STE 275
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City | HOUSTON
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State | TX
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Zip | 77063-2323
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Country | US
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Telephone | 281-345-2743
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Fax |
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Provider Business Mailing Address
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Address Line | 8524 HIGHWAY 6 N # 342
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City | HOUSTON
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State | TX
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Zip | 77095-2103
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Country | US
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Telephone | 281-345-2743
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | HRISHIKESH MODI
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Credential | MD
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Telephone | 281-345-2743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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