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General NPI Number Information
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NPI Number | 1245621333
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Entity Type | Organization
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Legal Business Name | METRO MHT LLC
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Dates
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Enumeration Date | 02/10/2015
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | 7737 SOUTHWEST FWY
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City | HOUSTON
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State | TX
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Zip | 77074-1807
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Country | US
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Telephone | 713-479-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 HERITAGE DR SUITE 110
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City | MCKINNEY
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State | TX
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Zip | 75069-3379
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Country | US
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Telephone | 972-616-4932
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Fax |
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | PETER CHANG
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Credential | M.D.
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Telephone | 713-479-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | F9292
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License Number State | TX
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