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General NPI Number Information
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NPI Number | 1174526990
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Entity Type | Organization
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Legal Business Name | RIVER OAKS ENDOSCOPY LLP
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1501 RIVER POINTE DR # 260
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City | CONROE
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State | TX
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Zip | 77304-2656
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Country | US
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Telephone | 936-494-3636
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Fax | 936-494-3635
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Provider Business Mailing Address
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Address Line | 1501 RIVER POINTE DR # 260
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City | CONROE
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State | TX
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Zip | 77304-2656
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Country | US
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Telephone | 936-494-3636
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Fax | 936-494-3635
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MS. KATHY LYN HOWARD
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Credential |
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Telephone | 936-494-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 007979
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License Number State | TX
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