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General NPI Number Information
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NPI Number | 1265384945
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Entity Type | Organization
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Legal Business Name | SOUTH COLLEGE STATION EMERGENCY CENTER, LLC
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 948 WILLIAM D FITCH PKWY
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City | COLLEGE STATION
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State | TX
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Zip | 77845-6452
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Country | US
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Telephone | 979-231-3990
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Fax | 281-752-7975
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Provider Business Mailing Address
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Address Line | 11490 WESTHEIMER RD STE 1000
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City | HOUSTON
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State | TX
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Zip | 77077-6853
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Country | US
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Telephone | 832-699-3777
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | HASHIBUL HANNAN
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Credential | MD
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Telephone | 832-699-3777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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