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NPI 1104868975

NPI 1104868975 : INPATIENT MEDICAL SERVICES, P.A. : PASADENA, TX

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General NPI Number Information
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    NPI Number           |    1104868975
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    Entity Type          |    Organization 
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    Legal Business Name  |    INPATIENT MEDICAL SERVICES, P.A. 
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Dates
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    Enumeration Date     |    06/13/2006
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    Last Update Date     |    10/09/2023
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Provider Practice Location Address
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    Address Line         |    3315 BURKE RD STE 108 
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    City                 |    PASADENA
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    State                |    TX
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    Zip                  |    77504-1873
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    Country              |    US
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    Telephone            |    832-476-3900
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    Fax                  |    173-561-5704
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Provider Business Mailing Address
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    Address Line         |    3315 BURKE RD STE 108 
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    City                 |    PASADENA
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    State                |    TX
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    Zip                  |    77504-1873
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    Country              |    US
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    Telephone            |    832-476-3900
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    Fax                  |    713-561-5704
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     KIRK  CLOVE 
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    Credential           |    
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    Telephone            |    832-476-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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