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General NPI Number Information
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NPI Number | 1144040528
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Entity Type | Organization
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Legal Business Name | MCTECH MEDICAL SUPPLY EQUIPMENT LLC
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 5444 WESTHEIMER ROAD SUITE 1950
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City | HOUSTON
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State | TX
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Zip | 77056
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Country | US
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Telephone | 713-417-5610
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Fax |
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Provider Business Mailing Address
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Address Line | 5444 WESTHEIMER ROAD SUITE 1950
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City | HOUSTON
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State | TX
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Zip | 77056
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Country | US
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Telephone | 713-417-5610
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. PAUL EUGENE MCCUTCHEON
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Credential |
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Telephone | 713-417-5610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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