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General NPI Number Information
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NPI Number | 1073182382
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Entity Type | Organization
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Legal Business Name | HOUSTON METROPOLITAN MEDICAL PLLC
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 23692 HIGHWAY 59 N STE B
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City | KINGWOOD
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State | TX
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Zip | 77339-3537
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Country | US
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Telephone | 281-607-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 23692 HIGHWAY 59 N STE B
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City | KINGWOOD
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State | TX
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Zip | 77339-3537
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Country | US
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Telephone | 281-607-1818
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | WILMER VALENTIN
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Credential |
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Telephone | 787-412-0055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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