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General NPI Number Information
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NPI Number | 1164719795
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Entity Type | Organization
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Legal Business Name | NORTH HOUSTON PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 07/04/2011
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Last Update Date | 07/04/2011
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Provider Practice Location Address
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Address Line | 14335 TORREY CHASE BLVD STE E
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City | HOUSTON
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State | TX
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Zip | 77014-1634
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Country | US
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Telephone | 281-631-0081
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Fax | 281-583-7748
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Provider Business Mailing Address
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Address Line | 14335 TORREY CHASE BLVD STE E
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City | HOUSTON
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State | TX
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Zip | 77014-1634
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Country | US
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Telephone | 281-631-0081
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Fax | 281-583-7748
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNINGS TYSON GODSY
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Credential | M.D.
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Telephone | 281-631-0081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | N3676
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License Number State | TX
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