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General NPI Number Information
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NPI Number | 1285812883
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Entity Type | Organization
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Legal Business Name | WOMEN SPECIALISTS OF KATY, P.A.
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 04/09/2009
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Provider Practice Location Address
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Address Line | 21700 KINGSLAND BLVD SUITE #203
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City | KATY
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State | TX
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Zip | 77450-2545
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Country | US
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Telephone | 281-398-2140
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Fax | 281-398-0017
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Provider Business Mailing Address
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Address Line | 21700 KINGSLAND BLVD SUITE #203
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City | KATY
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State | TX
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Zip | 77450-2545
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Country | US
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Telephone | 281-398-2140
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Fax | 281-398-0017
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Authorized Official
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Title or Position | MANAGER
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Name | CHRIS P COROVESSIS
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Credential |
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Telephone | 281-398-2140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | L4894
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License Number State | TX
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