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General NPI Number Information
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NPI Number | 1033878988
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Entity Type | Organization
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Legal Business Name | INNOVATIVE HEALTH PROFESSIONALS PLLC
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Dates
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Enumeration Date | 12/08/2021
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 12000 BELLAIRE BLVD STE 140
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City | HOUSTON
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State | TX
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Zip | 77072-2577
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Country | US
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Telephone | 832-644-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 12000 BELLAIRE BLVD STE 140
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City | HOUSTON
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State | TX
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Zip | 77072-2577
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Country | US
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Telephone | 713-437-7114
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HOANG ANH PHAN
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Credential | MD
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Telephone | 832-644-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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