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General NPI Number Information
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NPI Number | 1316827165
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Entity Type | Organization
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Legal Business Name | LIFESCULPT UROGYNECOLOGY PLLC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 18300 KATY FWY STE 565
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City | HOUSTON
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State | TX
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Zip | 77094-1536
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Country | US
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Telephone | 281-717-4003
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Fax |
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Provider Business Mailing Address
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Address Line | 18300 KATY FWY STE 565
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City | HOUSTON
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State | TX
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Zip | 77094-1536
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | CHRISTINA PRAMUDJI
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Credential | MD
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Telephone | 713-206-1378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number |
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License Number State |
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