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General NPI Number Information
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NPI Number | 1053440966
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Entity Type | Organization
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Legal Business Name | A&E MEDICAL
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 2123 FM 1960 RD W #273
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City | HOUSTON
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State | TX
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Zip | 77090-3103
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Country | US
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Telephone | 713-530-2312
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Fax |
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Provider Business Mailing Address
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Address Line | 2123 FM 1960 RD W #273
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City | HOUSTON
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State | TX
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Zip | 77090-3103
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Country | US
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Telephone | 713-530-2312
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRAIG A THIRY
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Credential | D.O.
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Telephone | 713-530-2312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | TX
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