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NPI 1164575585

NPI 1164575585 : TU REN D.D.S., : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1164575585
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    Entity Type          |    Individual 
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    Provider Name        |    TU REN D.D.S.,
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/19/2007
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    Last Update Date     |    06/01/2021
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Provider Practice Location Address
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    Address Line         |    13715 TOMBALL PARKWAY 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77086-2705
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    Country              |    US
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    Telephone            |    281-260-8888
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    Fax                  |    281-260-8593
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Provider Business Mailing Address
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    Address Line         |    13715 TOMBALL PARKWAY 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77086-2705
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    Country              |    US
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    Telephone            |    281-260-8888
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    Fax                  |    281-260-8593
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    18838
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    License Number State |    TX
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