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General NPI Number Information
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NPI Number | 1104884345
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Entity Type | Organization
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Legal Business Name | GREATER HOUSTON RADIOLOGY ASSOCIATES, P.A.
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 3120 SOUTHWEST FWY SUITE 530
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City | HOUSTON
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State | TX
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Zip | 77098-4509
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Country | US
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Telephone | 713-627-9729
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 201042
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City | HOUSTON
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State | TX
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Zip | 77216-1042
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Country | US
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Telephone | 713-627-9729
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LAURA LEMPERT
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Credential |
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Telephone | 713-627-9729
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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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