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General NPI Number Information
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NPI Number | 1285684431
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Entity Type | Organization
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Legal Business Name | TMH PHYSICIAN ORGANIZATION
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 03/30/2010
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Provider Practice Location Address
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Address Line | 6565 FANNIN ST D200
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City | HOUSTON
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State | TX
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Zip | 77030-2703
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Country | US
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Telephone | 713-790-2221
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Fax | 713-790-2605
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Provider Business Mailing Address
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Address Line | 6565 FANNIN ST D200
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City | HOUSTON
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State | TX
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Zip | 77030-2703
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Country | US
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Telephone | 713-790-2221
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Fax | 713-790-2605
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. H. DIRK SOSTMAN
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Credential | M.D.
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Telephone | 713-790-2221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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