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General NPI Number Information
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NPI Number | 1083990717
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Entity Type | Organization
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Legal Business Name | TEXAS RADIOLOGY ASSOCIATES LLP
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 460 ENA RD 200
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City | HONOLULU
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State | HI
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Zip | 96815-1779
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Country | US
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Telephone | 972-867-7862
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Fax | 972-612-1623
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Provider Business Mailing Address
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Address Line | PO BOX 2285
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-2285
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Country | US
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Telephone | 866-437-9810
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Fax | 469-757-1095
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Authorized Official
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Title or Position | PARTNER
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Name | DR. TED S WEN
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Credential | M.D.
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Telephone | 972-867-7862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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