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General NPI Number Information
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NPI Number | 1093344293
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Entity Type | Organization
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Legal Business Name | ADVANCED HOUSTON SURGICAL, PLLC
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 6300 WEST LOOP S STE 495
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City | BELLAIRE
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State | TX
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Zip | 77401-2951
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Country | US
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Telephone | 713-263-3900
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Fax | 855-583-1961
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Provider Business Mailing Address
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Address Line | 6300 WEST LOOP S STE 495
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City | BELLAIRE
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State | TX
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Zip | 77401-2951
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Country | US
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Telephone | 713-263-3900
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Fax | 855-583-1961
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Authorized Official
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Title or Position | OWNER
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Name | RIZWAN CHAUDHRY
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Credential | MD
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Telephone | 513-238-9781
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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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