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General NPI Number Information
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NPI Number | 1245108083
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Entity Type | Organization
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Legal Business Name | RIVER OAKS GALLERIA CENTER FOR REGENERATIVE MEDICINE
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 2111 WEST LOOP S STE 370
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City | HOUSTON
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State | TX
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Zip | 77027-3647
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Country | US
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Telephone | 346-741-6772
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Fax | 346-781-6772
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Provider Business Mailing Address
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Address Line | 2111 WEST LOOP S STE 370
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City | HOUSTON
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State | TX
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Zip | 77027-3647
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Country | US
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Telephone | 346-741-6772
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Fax | 346-781-6772
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Authorized Official
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Title or Position | OWNER
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Name | AGNES USORO
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Credential | MD
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Telephone | 346-741-6772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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