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General NPI Number Information
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NPI Number | 1215460738
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Entity Type | Organization
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Legal Business Name | TEXAS EMERGENCY CARE CENTER
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 25202 NORTHWEST FWY STE H
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City | CYPRESS
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State | TX
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Zip | 77429-1106
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Country | US
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Telephone | 832-653-3200
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Fax | 832-653-2978
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Provider Business Mailing Address
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Address Line | 25202 NORTHWEST FWY STE H
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City | CYPRESS
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State | TX
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Zip | 77429-1106
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Country | US
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Telephone | 832-653-3200
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Fax | 832-653-2978
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | TIFFANY W COUCH
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Credential |
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Telephone | 832-653-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State | TX
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