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General NPI Number Information
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NPI Number | 1063657021
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Entity Type | Organization
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Legal Business Name | GREATER HOUSTON SURGICAL CENTER, INC
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 2105 JACKSON ST SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77003-5839
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Country | US
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Telephone | 281-531-7246
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Fax | 281-531-4364
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Provider Business Mailing Address
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Address Line | 2105 JACKSON ST SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77003-5839
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Country | US
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Telephone | 281-531-7246
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Fax | 281-531-4364
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIAS BENHAMOU
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Credential | MD
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Telephone | 281-531-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | J2442
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License Number State | TX
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