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General NPI Number Information
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NPI Number | 1326711516
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF TEXAS HEALTH SCIENCE
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 780 RINGGOLD RD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-4936
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Country | US
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Telephone | 956-755-0637
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Fax | 956-755-0606
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Provider Business Mailing Address
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Address Line | ONE UNIVERSITY BLVD., SPH BUILDING S-1.330
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City | BROWNSVILLE
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State | TX
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Zip | 78520-4936
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Country | US
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Telephone | 956-755-0637
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Fax | 956-755-0606
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Authorized Official
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Title or Position | SR. EXECUTIVE VP, COO
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Name | MR. THOMAS KEVIN DILLON
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Credential | MBA, CPA
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Telephone | 713-500-3535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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