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General NPI Number Information
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NPI Number | 1285699835
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Entity Type | Organization
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Legal Business Name | WEBSTER SURGICAL SPECIALTY HOSPITAL, LLC
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 333 N TEXAS AVE SUITE 1000
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City | WEBSTER
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State | TX
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Zip | 77598-4962
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Country | US
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Telephone | 281-557-5620
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Fax | 281-335-1708
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Provider Business Mailing Address
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Address Line | PO BOX 4396 DEPT 496
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City | HOUSTON
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State | TX
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Zip | 77210-4396
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Country | US
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Telephone | 281-557-5620
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Fax | 281-335-1708
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Authorized Official
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Title or Position | OFFICER/AUTHORIZED OFFICIAL
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Name | MR. NICHOLAS E CRAFTS
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Credential |
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Telephone | 281-557-5621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 008220
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License Number State | TX
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