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General NPI Number Information
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NPI Number | 1326782814
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Entity Type | Organization
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Legal Business Name | CYPRESS EMERGENCY ROOM LLC
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 15103 MASON RD STE E-1
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City | CYPRESS
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State | TX
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Zip | 77433-6755
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Country | US
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Telephone | 832-619-7937
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Fax | 832-736-0246
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Provider Business Mailing Address
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Address Line | 15103 MASON RD STE E-1
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City | CYPRESS
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State | TX
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Zip | 77433-6755
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Country | US
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Telephone | 832-619-7937
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Fax | 832-736-0246
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Authorized Official
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Title or Position | CEO / OWNER
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Name | DR. HUSAM ATHAMNEH
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Credential | MD
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Telephone | 832-619-7937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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