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General NPI Number Information
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NPI Number | 1265788913
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Entity Type | Organization
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Legal Business Name | HEALING INTERNAL MEDICINE CLINIC PLLC
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 04/27/2016
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Provider Practice Location Address
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Address Line | 500 MEDICAL CENTER BLVD SUITE 200
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City | CONROE
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State | TX
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Zip | 77304-2889
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Country | US
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Telephone | 936-446-2227
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Fax | 936-788-2221
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Provider Business Mailing Address
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Address Line | 500 MEDICAL CENTER BLVD SUITE 200
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City | CONROE
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State | TX
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Zip | 77304-2889
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Country | US
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Telephone | 936-446-2227
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Fax | 936-788-2221
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADEEL AFZAL
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Credential | MD
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Telephone | 936-446-2227
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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 | P1957
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License Number State | TX
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