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General NPI Number Information
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NPI Number | 1164716478
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Entity Type | Organization
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Legal Business Name | MUSTANG HILL EMERGENCY PHYSICIANS
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Dates
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Enumeration Date | 06/03/2011
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Last Update Date | 06/03/2011
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Provider Practice Location Address
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Address Line | 8850 LONG POINT RD
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City | HOUSTON
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State | TX
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Zip | 77055-3006
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Country | US
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Telephone | 713-722-3771
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Fax | 800-305-3233
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Provider Business Mailing Address
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Address Line | 815 S PALAFOX ST SUITE 300
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City | PENSACOLA
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State | FL
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Zip | 32502-5960
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Country | US
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Telephone | 800-444-7009
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Fax | 800-305-3233
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Authorized Official
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Title or Position | PRES, TEXAS EMERGENCY ROOM SERVICES
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Name | JOSEPH H GTEWOOD
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Credential | M.D.
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Telephone | 214-712-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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