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General NPI Number Information
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NPI Number | 1043850340
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Entity Type | Organization
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Legal Business Name | CENTRAL HOUSTON FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 1012 CAMPBELL RD # 1
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City | HOUSTON
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State | TX
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Zip | 77055-7408
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Country | US
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Telephone | 832-463-6283
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Fax |
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Provider Business Mailing Address
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Address Line | 12335 KINGSRIDE LN # 426
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City | HOUSTON
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State | TX
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Zip | 77024-4116
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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 | NURSE PRACTITIONER
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Name | DR. SUHYUN AN
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Credential | NP
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Telephone | 832-463-6283
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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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