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General NPI Number Information
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NPI Number | 1083872576
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Entity Type | Organization
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Legal Business Name | LONE STAR SURGICAL PA
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 1710 E SAUNDERS ST B260
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City | LAREDO
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State | TX
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Zip | 78041-5443
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Country | US
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Telephone | 956-729-7827
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 E SAUNDERS ST B260
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City | LAREDO
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State | TX
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Zip | 78041-5443
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Country | US
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Telephone | 956-729-7827
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. MICHAEL CHRISTOPHER MORRIS
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Credential | M.D.
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Telephone | 956-729-7827
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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 | TX
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