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General NPI Number Information
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NPI Number | 1093977340
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Entity Type | Organization
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Legal Business Name | MIDTOWN PHYSICIANS,LTD.,L.L.P.
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 3306 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77004-2904
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Country | US
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Telephone | 713-522-1788
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Fax | 713-522-9177
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Provider Business Mailing Address
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Address Line | 3306 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77004-2904
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Country | US
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Telephone | 713-522-1788
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Fax | 713-522-9177
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Authorized Official
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Title or Position | FRONT OFFICE
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Name | MISS LORI A HERNANDEZ
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Credential |
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Telephone | 713-522-1788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | E7236
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License Number State | TX
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