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General NPI Number Information
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NPI Number | 1235354267
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Entity Type | Organization
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Legal Business Name | PRIMARY HEALTH NETWORK OF SOUTH TEXAS
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10575 KATY FREEWAY SUITE 435
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City | HOUSTON
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State | TX
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Zip | 77024
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Country | US
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Telephone | 713-463-5527
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Fax | 713-463-3784
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Provider Business Mailing Address
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Address Line | 10575 KATY FREEWAY SUITE 435
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City | HOUSTON
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State | TX
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Zip | 77024
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Country | US
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Telephone | 713-463-5527
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Fax | 713-463-3784
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Authorized Official
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Title or Position | VP
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Name | TODD EVANS
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Credential |
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Telephone | 713-463-5527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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