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General NPI Number Information
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NPI Number | 1134303183
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Entity Type | Organization
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Legal Business Name | MICHAEL ESANTSI MD PA
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 18220 STATE HIGHWAY 249 SUITE 350
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City | HOUSTON
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State | TX
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Zip | 77070-4347
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Country | US
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Telephone | 281-477-3393
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Fax | 281-477-3477
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Provider Business Mailing Address
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Address Line | PO BOX 690362
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City | HOUSTON
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State | TX
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Zip | 77269-0362
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Country | US
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Telephone | 281-477-3393
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Fax | 281-477-3477
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL ESANTSI
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Credential | M.D.
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Telephone | 281-477-3393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K0737
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License Number State | TX
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