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General NPI Number Information
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NPI Number | 1205053022
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Entity Type | Organization
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Legal Business Name | STARBRANCH PSYCHIATRY ASSOCIATES
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 2600 GESSNER DR SUITE 280
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City | HOUSTON
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State | TX
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Zip | 77080-3839
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Country | US
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Telephone | 713-490-7017
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Fax | 281-577-1105
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Provider Business Mailing Address
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Address Line | 2600 GESSNER DR SUITE 280
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City | HOUSTON
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State | TX
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Zip | 77080-3839
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Country | US
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Telephone | 713-490-7017
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Fax | 281-577-1105
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. EILEEN K STARBRANCH
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Credential | M.D.
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Telephone | 713-490-7017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number | E3150
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License Number State | TX
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