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General NPI Number Information
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NPI Number | 1245752757
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Entity Type | Organization
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Legal Business Name | COSMOS ANESTHESIA PLLC
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 634 MANCHESTER TRAIL DR
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City | SPRING
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State | TX
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Zip | 77373-8293
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Country | US
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Telephone | 832-212-2848
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Fax |
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Provider Business Mailing Address
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Address Line | 634 MANCHESTER TRAIL DR
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City | SPRING
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State | TX
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Zip | 77373-8293
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Country | US
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Telephone | 832-212-2848
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Fax |
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Authorized Official
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Title or Position | ANESTHESIOLOGY
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Name | ABRAHAM KHALIL
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Credential | MD
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Telephone | 832-212-2848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | TX
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