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General NPI Number Information
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NPI Number | 1124153341
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Entity Type | Organization
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Legal Business Name | ARMANDO J. JARQUIN, MD, PA
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 705 S FRY RD STE 105
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City | KATY
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State | TX
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Zip | 77450-2252
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Country | US
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Telephone | 281-599-8345
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Fax | 281-599-3030
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Provider Business Mailing Address
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Address Line | PO BOX 57
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City | BARKER
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State | TX
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Zip | 77413-0057
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Country | US
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Telephone | 281-599-8345
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Fax | 281-599-3030
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARMANDO JOSE JARQUIN
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Credential | M.D.
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Telephone | 281-599-8345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | J6835
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License Number State | TX
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