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General NPI Number Information
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NPI Number | 1114130457
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Entity Type | Organization
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Legal Business Name | NORTH HOUSTON RENAL CONSULTANTS, P.A.
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 19502 MCKAY DR STE 200
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City | HUMBLE
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State | TX
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Zip | 77338-5720
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Country | US
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Telephone | 281-540-8779
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Fax | 281-540-8798
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Provider Business Mailing Address
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Address Line | 19502 MCKAY DR STE 200
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City | HUMBLE
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State | TX
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Zip | 77338-5720
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Country | US
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Telephone | 281-540-8779
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Fax | 281-540-8798
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DENEAN LOUISE JOHNSON
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Credential |
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Telephone | 281-540-8779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | J9082
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License Number State | TX
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