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NPI 1245699743

NPI 1245699743 : AMW MEDICAL SERVICES : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1245699743
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMW MEDICAL SERVICES 
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Dates
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    Enumeration Date     |    02/12/2016
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    Last Update Date     |    02/12/2016
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Provider Practice Location Address
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    Address Line         |    10810 EASTEX FWY SUITE 150
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77093-0002
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    Country              |    US
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    Telephone            |    832-230-4206
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    Fax                  |    832-230-4507
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1513 
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    City                 |    DEER PARK
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    State                |    TX
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    Zip                  |    77536-1513
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. BRYAN  WOODSON 
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    Credential           |    
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    Telephone            |    832-230-4206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111NX0100X
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    Taxonomy Name        |    Occupational Health Chiropractor
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    License Number       |    
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    License Number State |    TX
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