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General NPI Number Information
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NPI Number | 1043102007
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Entity Type | Organization
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Legal Business Name | BARBOUR ORTHOPAEDICS & SPINE OF TEXAS PC
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 12350 WESTHEIMER RD STE G
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City | HOUSTON
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State | TX
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Zip | 77077-6068
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Country | US
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Telephone | 281-598-9884
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Fax |
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Provider Business Mailing Address
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Address Line | 3240 NORTHEAST EXPY NE STE 100
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City | ATLANTA
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State | GA
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Zip | 30341-4003
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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 | AREA MANAGER
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Name | GREGORY ZIMMERMAN
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Credential | PA-C
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Telephone | 404-480-4931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) 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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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