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General NPI Number Information
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NPI Number | 1093846552
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Entity Type | Organization
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Legal Business Name | TOXICOLOGY ASSOCIATES, INC.
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6910 BELLAIRE BLVD SUITE 13
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City | HOUSTON
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State | TX
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Zip | 77074-3509
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Country | US
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Telephone | 713-271-0067
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Fax | 713-271-6508
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Provider Business Mailing Address
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Address Line | 6910 BELLAIRE BLVD SUITE 13
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City | HOUSTON
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State | TX
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Zip | 77074-3509
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Country | US
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Telephone | 713-271-0067
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Fax | 713-271-6508
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ERIC G COMSTOCK
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Credential | M.D.
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Telephone | 713-541-3218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | SNP0410122
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License Number State | TX
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