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General NPI Number Information
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NPI Number | 1144975194
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Entity Type | Organization
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Legal Business Name | JOHN HALBERDIER, MD PLLC
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 5373 W ALABAMA ST STE 204
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City | HOUSTON
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State | TX
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Zip | 77056-5923
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Country | US
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Telephone | 832-579-7711
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Fax | 832-365-3099
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Provider Business Mailing Address
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Address Line | 2800 HIRSCHFIELD RD APT 73
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City | SPRING
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State | TX
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Zip | 77373-7474
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Country | US
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Telephone | 936-446-8609
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOHN EDWARD HALBERDIER
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Credential | MD
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Telephone | 832-579-7711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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