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General NPI Number Information
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NPI Number | 1073927950
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Entity Type | Organization
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Legal Business Name | LUIS H CAMACHO MD MPH PA
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Dates
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Enumeration Date | 06/18/2014
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 6560 FANNIN ST STE 1224
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City | HOUSTON
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State | TX
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Zip | 77030-2761
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Country | US
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Telephone | 713-796-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 5300 N BRAESWOOD BLVD 4-422
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City | HOUSTON
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State | TX
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Zip | 77096-3307
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Country | US
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Telephone | 713-796-1200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | LUIS H CAMACHO
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Credential | MD
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Telephone | 713-796-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | L2829
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License Number State | TX
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