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General NPI Number Information
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NPI Number | 1174582050
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 1515 HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4009
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Country | US
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Telephone | 713-792-2121
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4434
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City | HOUSTON
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State | TX
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Zip | 77210-4439
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Country | US
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Telephone | 713-792-6161
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT, REVENUE CYCLE
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Name | MIRIAM FLORES
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Credential |
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Telephone | 713-792-3751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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