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General NPI Number Information
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NPI Number | 1295223477
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Entity Type | Organization
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Legal Business Name | LIFE SAVERS EMERGENCY ROOM II, LLC
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 03/22/2019
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Provider Practice Location Address
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Address Line | 3820 N SHEPHERD DR STE A
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City | HOUSTON
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State | TX
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Zip | 77018-6408
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Country | US
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Telephone | 832-930-1705
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Fax | 832-604-6291
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Provider Business Mailing Address
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Address Line | 17685 TOMBALL PKWY
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City | HOUSTON
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State | TX
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Zip | 77064-1011
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Country | US
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Telephone | 832-930-1705
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Fax | 832-604-6291
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Authorized Official
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Title or Position | MANAGER
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Name | FOYEKE FOYE IKYAATOR
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Credential | MD
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Telephone | 832-930-1705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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