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General NPI Number Information
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NPI Number | 1215945621
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Entity Type | Organization
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Legal Business Name | GULF COAST URGENT CARE
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9100 SOUTHWEST FWY SUITE 150
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City | HOUSTON
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State | TX
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Zip | 77074-1519
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Country | US
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Telephone | 713-773-3306
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Fax | 713-773-1464
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Provider Business Mailing Address
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Address Line | 9100 SOUTHWEST FWY SUITE 150
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City | HOUSTON
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State | TX
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Zip | 77074-1519
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Country | US
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Telephone | 713-773-3306
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Fax | 713-773-1464
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JEROME HUTCHENS
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Credential | MD
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Telephone | 713-773-3306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 00582Z
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License Number State | TX
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