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General NPI Number Information
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NPI Number | 1134510555
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Entity Type | Organization
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Legal Business Name | FIRST ASSISTANT CARE OF TEXAS
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 1134 LAKE GRAYSON DR
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City | KATY
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State | TX
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Zip | 77494-4709
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Country | US
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Telephone | 832-752-6718
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Fax |
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Provider Business Mailing Address
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Address Line | 1134 LAKE GRAYSON DR
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City | KATY
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State | TX
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Zip | 77494-4709
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Country | US
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Telephone | 832-752-6718
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Fax |
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Authorized Official
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Title or Position | CSA LSA LICENSED SURGICAL ASSISTANT
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Name | MARIA CHRISTINA BIGALBAL
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Credential | CSA LSA
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Telephone | 832-752-6718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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