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General NPI Number Information
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NPI Number | 1326049370
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC CLINIC OF GALVESTON COUNTY ASSOCIATES
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 6501 MEMORIAL DR
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City | TEXAS CITY
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State | TX
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Zip | 77591-4015
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Country | US
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Telephone | 409-938-8161
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Fax | 409-938-0837
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Provider Business Mailing Address
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Address Line | 6501 MEMORIAL DR
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City | TEXAS CITY
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State | TX
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Zip | 77591-4015
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Country | US
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Telephone | 409-938-8161
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Fax | 409-938-0837
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SUMMER R FRYE
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Credential |
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Telephone | 409-938-8161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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