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General NPI Number Information
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NPI Number | 1265245591
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Entity Type | Organization
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Legal Business Name | TEXAS UNITED PHYSICIAN GROUP
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 8000 ELDORADO PKWY
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City | MCKINNEY
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State | TX
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Zip | 75070-4136
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Country | US
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Telephone | 310-597-0032
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Fax |
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Provider Business Mailing Address
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Address Line | 3515 TIMBERLAND PL
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City | FRISCO
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State | TX
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Zip | 75033-0823
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Country | US
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Telephone | 310-597-0032
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RAMI BOUAJRAM
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Credential | MD
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Telephone | 310-597-0032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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