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General NPI Number Information
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NPI Number | 1174710792
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Entity Type | Organization
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Legal Business Name | PEARSALL MEDICAL AND BARIATRICS, PA
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | 2951 CHIMNEY ROCK RD SUITE A
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City | HOUSTON
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State | TX
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Zip | 77056-5937
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Country | US
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Telephone | 713-522-4037
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Fax | 713-820-9244
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Provider Business Mailing Address
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Address Line | 5644 WESTHEIMER RD PMB 109
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City | HOUSTON
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State | TX
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Zip | 77056-4002
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Country | US
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Telephone | 713-522-4037
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Fax | 713-820-9244
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. GURNEY FIELDS PEARSALL JR.
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Credential | M.D.
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Telephone | 713-522-4037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | K6903
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License Number State | TX
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