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General NPI Number Information
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NPI Number | 1134630411
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Entity Type | Organization
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Legal Business Name | UNITED CARE PHYSICIANS GROUP PLLC
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Dates
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Enumeration Date | 10/13/2017
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 509 W TIDWELL RD
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City | HOUSTON
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State | TX
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Zip | 77091-4352
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Country | US
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Telephone | 713-691-3649
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Fax | 832-827-7445
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Provider Business Mailing Address
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Address Line | PO BOX 16370
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City | HOUSTON
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State | TX
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Zip | 77222-6370
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Country | US
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Telephone | 832-418-3776
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Fax | 281-618-4618
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MAHVISH KHAN
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Credential |
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Telephone | 832-418-3776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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