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General NPI Number Information
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NPI Number | 1295122547
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Entity Type | Organization
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Legal Business Name | FRSTTEXAS CONSULTANTS
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 11211 KATY FWY SUITE 620
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City | HOUSTON
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State | TX
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Zip | 77079-2126
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Country | US
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Telephone | 832-962-3778
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Fax |
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Provider Business Mailing Address
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Address Line | 11211 KATY FWY SUITE 620
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City | HOUSTON
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State | TX
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Zip | 77079-2126
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Country | US
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Telephone | 832-962-3778
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DANIEL V BODIN
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Credential |
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Telephone | 832-962-3778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1237869
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 21625
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License Number State | TX
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