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General NPI Number Information
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NPI Number | 1124131628
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Entity Type | Organization
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Legal Business Name | EAST HOUSTON SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/29/2009
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Provider Practice Location Address
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Address Line | 4140 SOUTHWEST FREEWAY #425
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City | HOUSTON
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State | TX
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Zip | 77027
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Country | US
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Telephone | 713-455-5531
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Fax | 713-455-4321
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Provider Business Mailing Address
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Address Line | 4140 SOUTHWEST FREEWAY #425
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City | HOUSTON
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State | TX
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Zip | 77027
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Country | US
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Telephone | 713-455-5531
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Fax | 713-455-4321
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LINDA ALANIS
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Credential | R.N.
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Telephone | 713-455-5531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | G9704
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License Number State | TX
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