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General NPI Number Information
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NPI Number | 1295173680
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE CARDIAC DIAGNOSTICS AND WELLNESS PLLC
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 12/19/2017
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Provider Practice Location Address
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Address Line | 1930 COUNTRY PLACE PKWY STE 106
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City | PEARLAND
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State | TX
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Zip | 77584-2138
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Country | US
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Telephone | 281-506-7840
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Fax | 832-672-7485
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Provider Business Mailing Address
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Address Line | 10223 BROADWAY STREET SUITE: P-226
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City | PEARLAND
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State | TX
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Zip | 78584
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Country | US
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Telephone | 281-886-4183
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Fax | 713-436-3489
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Authorized Official
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Title or Position | SOLE OWNER
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Name | JOHN C. L. YU
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Credential | MD
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Telephone | 281-506-7840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | J7735
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License Number State | TX
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