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General NPI Number Information
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NPI Number | 1245571991
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Entity Type | Organization
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Legal Business Name | HOUSTONOG PLLC.
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 03/05/2013
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Provider Practice Location Address
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Address Line | 2050 NORTH LOOP W STE 224
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City | HOUSTON
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State | TX
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Zip | 77018-8115
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Country | US
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Telephone | 713-668-0720
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 POST OAK BLVD APT 2803
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City | HOUSTON
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State | TX
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Zip | 77056-3266
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Country | US
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Telephone | 713-775-1017
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUIS ARTURO SANDOVAL-MARTINEZ
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Credential | MD.
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Telephone | 713-775-1017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | N1126
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License Number State | TX
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