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General NPI Number Information
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NPI Number | 1336033695
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Entity Type | Organization
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Legal Business Name | CAD MEDICAL MANAGEMENT
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 6655 HILLCROFT AVE STE 105
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City | HOUSTON
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State | TX
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Zip | 77081-4824
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Country | US
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Telephone | 713-779-1633
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Fax | 713-995-5914
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Provider Business Mailing Address
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Address Line | 6655 HILLCROFT AVE STE 105
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City | HOUSTON
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State | TX
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Zip | 77081-4824
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Country | US
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Telephone | 713-779-1633
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Fax | 713-995-5914
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. GONZALO URIBE-BOTERO
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Credential | MD
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Telephone | 713-779-1633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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