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General NPI Number Information
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NPI Number | 1265210751
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Entity Type | Organization
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Legal Business Name | PECAN HEALTH PLLC
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 20320 NORTHWEST FWY STE 400A
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City | JERSEY VILLAGE
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State | TX
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Zip | 77065-5620
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Country | US
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Telephone | 346-345-2092
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 39077
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City | BELFAST
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State | ME
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Zip | 04915-1232
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Country | US
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Telephone | 346-345-2092
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Fax | 281-883-4395
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Authorized Official
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Title or Position | OWNER
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Name | MARCIAL OQUENDO
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Credential | MD
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Telephone | 214-317-5630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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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 | 163WP0000X
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Taxonomy Name | Pain Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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