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General NPI Number Information
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NPI Number | 1053730689
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Entity Type | Organization
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Legal Business Name | PARKWAY ER GROUP, LLLP
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 12/31/2014
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Provider Practice Location Address
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Address Line | 25450 KUYKENDAHL RD. #300
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City | TOMBALL
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State | TX
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Zip | 77375
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Country | US
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Telephone | 832-761-7894
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Fax | 832-843-6514
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Provider Business Mailing Address
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Address Line | 9595 SIX PINES DR STE 6250
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1551
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Country | US
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Telephone | 281-362-0014
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE M DAVIS
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Credential | M.D.
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Telephone | 281-362-0014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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