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General NPI Number Information
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NPI Number | 1205296019
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Entity Type | Organization
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Legal Business Name | CENTRAL HOUSTON PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 03/07/2016
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Last Update Date | 03/07/2016
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Provider Practice Location Address
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Address Line | 3100 WESLAYAN ST SUITE 360
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City | HOUSTON
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State | TX
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Zip | 77027-5727
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Country | US
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Telephone | 713-301-2252
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 271144
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City | HOUSTON
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State | TX
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Zip | 77277-1144
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Country | US
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Telephone | 713-516-1126
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARTER DAVID POAGE
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Credential | M.D.
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Telephone | 713-301-2252
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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 | Q6265
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License Number State | TX
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