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General NPI Number Information
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NPI Number | 1326506411
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Entity Type | Organization
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Legal Business Name | BEAR CREEK MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 03/07/2019
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Last Update Date | 03/07/2019
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Provider Practice Location Address
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Address Line | 8783 S GESSNER RD
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City | HOUSTON
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State | TX
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Zip | 77074-2915
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Country | US
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Telephone | 713-981-4311
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Fax | 281-980-6207
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Provider Business Mailing Address
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Address Line | 3033 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77004-3258
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Country | US
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Telephone | 832-724-7201
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Fax | 281-980-6207
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LONIE NGUYEN
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Credential |
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Telephone | 713-652-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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