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General NPI Number Information
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NPI Number | 1154082147
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Entity Type | Organization
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Legal Business Name | HOUSTONMD MEDSPA & WELLNESS LLC
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Dates
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Enumeration Date | 01/03/2022
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 12000 RICHMOND AVE STE 215
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City | HOUSTON
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State | TX
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Zip | 77082-2428
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Country | US
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Telephone | 832-234-2795
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Fax | 832-568-3536
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Provider Business Mailing Address
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Address Line | 12000 RICHMOND AVE STE 215
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City | HOUSTON
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State | TX
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Zip | 77082-2428
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Country | US
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Telephone | 832-234-2795
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Fax | 832-568-3536
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Authorized Official
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Title or Position | OWNER
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Name | JOHNSON C UZOR
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Credential |
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Telephone | 832-234-2795
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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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