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General NPI Number Information
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NPI Number | 1144992017
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Entity Type | Organization
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Legal Business Name | TEXAS WSS HOLDING CORP.
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 1140 WESTMONT DR STE 330
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City | HOUSTON
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State | TX
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Zip | 77015-4364
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Country | US
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Telephone | 832-572-5577
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Fax | 832-572-5588
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Provider Business Mailing Address
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Address Line | 1140 WESTMONT DR STE 330
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City | HOUSTON
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State | TX
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Zip | 77015-4364
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Country | US
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Telephone | 832-572-5577
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Fax | 832-572-5588
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ABEL ANTHONY ACOSTA
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Credential |
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Telephone | 832-722-5577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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