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General NPI Number Information
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NPI Number | 1285051094
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Entity Type | Organization
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Legal Business Name | HEALOGICS SPECIALTY PHYSICIANS OF TEXAS, PLLC
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 1105 CENTRAL EXPY N MEDICAL OFFICE STE 2210
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City | ALLEN
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State | TX
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Zip | 75013-6103
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Country | US
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Telephone | 972-747-4325
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Fax | 972-747-4324
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Provider Business Mailing Address
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Address Line | 5220 BELFORT RD STE 130
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6018
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Country | US
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Telephone | 904-446-3451
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Fax | 904-446-3032
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Authorized Official
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Title or Position | CEO
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Name | FRANK WILLIAMS
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Credential |
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Telephone | 904-446-3519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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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 | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | N3910
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License Number State | TX
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #7
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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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Taxonomy #8
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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 #9
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #14
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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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