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General NPI Number Information
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NPI Number | 1053838904
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Entity Type | Organization
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Legal Business Name | CGI HEALTHCARE SYSTEM
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 530 N SAM HOUSTON PKWY E
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City | HOUSTON
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State | TX
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Zip | 77060-4038
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Country | US
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Telephone | 866-678-4003
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Fax | 832-730-5026
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Provider Business Mailing Address
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Address Line | 700 LOUISIANA ST STE 3950
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City | HOUSTON
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State | TX
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Zip | 77002-2859
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Country | US
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Telephone | 866-678-4003
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Fax | 832-730-5026
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Authorized Official
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Title or Position | CEO
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Name | DR. ROBERT L CARTER
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Credential |
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Telephone | 866-678-4003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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