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General NPI Number Information
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NPI Number | 1114303427
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Entity Type | Organization
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Legal Business Name | TEXANS MULTISPECIALTY MEDICAL GROUP, PLLC
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 9525 KATY FWY SUITE 130
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City | HOUSTON
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State | TX
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Zip | 77024-1407
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Country | US
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Telephone | 713-863-7246
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Fax | 888-371-2259
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Provider Business Mailing Address
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Address Line | 9525 KATY FWY SUITE 130
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City | HOUSTON
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State | TX
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Zip | 77024-1407
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Country | US
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Telephone | 713-863-7246
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Fax | 888-371-2259
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Authorized Official
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Title or Position | MD/PRESIDENT
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Name | DR. TEODULO E. AVES
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Credential | M.D.
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Telephone | 936-321-8627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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