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General NPI Number Information
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NPI Number | 1154533982
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Entity Type | Organization
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Legal Business Name | NEUROSCIENCE ASSOCIATES OF TEXAS, P.A.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/08/2013
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Provider Practice Location Address
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Address Line | 710 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77090-3402
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Country | US
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Telephone | 281-668-5598
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Fax | 281-789-7722
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Provider Business Mailing Address
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Address Line | 6606 FM 1488 RD SUITE 148-494
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City | MAGNOLIA
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State | TX
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Zip | 77354-2544
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Country | US
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Telephone | 281-668-5598
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Fax | 281-789-7722
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD J ESCOBAR
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Credential | D.O.
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Telephone | 281-668-5598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | J6423
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License Number State | TX
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