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General NPI Number Information
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NPI Number | 1285999417
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Entity Type | Organization
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Legal Business Name | GREENSPOINT HEALTH & INJURY CENTER
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 07/13/2012
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Provider Practice Location Address
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Address Line | 256 N SAM HOUSTON PKWY E STE 100
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City | HOUSTON
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State | TX
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Zip | 77060-2006
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Country | US
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Telephone | 832-403-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 256 N SAM HOUSTON PKWY E STE 100
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City | HOUSTON
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State | TX
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Zip | 77060-2006
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Country | US
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Telephone | 832-403-2222
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Fax |
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Authorized Official
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Title or Position | COOWNER
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Name | MR. JOHN WALLACE PARK
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Credential |
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Telephone | 832-403-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | N11392
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License Number State | TX
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