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General NPI Number Information
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NPI Number | 1326408865
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Entity Type | Organization
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Legal Business Name | SOUTHWEST ACCIDENT & INJURY
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Dates
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Enumeration Date | 02/25/2016
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Last Update Date | 02/25/2016
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Provider Practice Location Address
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Address Line | 5610 SOUTHWEST FWY STE 101
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City | HOUSTON
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State | TX
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Zip | 77057-7535
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Country | US
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Telephone | 832-831-2423
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Fax |
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Provider Business Mailing Address
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Address Line | 6219 IRVINGTON BLVD
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City | HOUSTON
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State | TX
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Zip | 77022-5951
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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 | OWNER
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Name | MRS. EVA LIZZETTE BUI
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Credential |
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Telephone | 832-549-7554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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