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General NPI Number Information
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NPI Number | 1265559363
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Entity Type | Organization
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Legal Business Name | TEXAS SURGERY CENTER, PA
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 130 MEDICAL CENTER PKWY STE 10
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City | HUNTSVILLE
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State | TX
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Zip | 77340-4944
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Country | US
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Telephone | 936-435-0833
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Fax |
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Provider Business Mailing Address
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Address Line | 130 MEDICAL CENTER PKWY STE 10
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City | HUNTSVILLE
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State | TX
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Zip | 77340-4944
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Country | US
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Telephone | 936-435-0833
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Fax | 936-435-0395
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JO A PHILLIPS
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Credential |
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Telephone | 936-435-0833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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