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General NPI Number Information
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NPI Number | 1336039031
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Entity Type | Organization
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Legal Business Name | BRAIN AND CLINICAL ASSESSMENT
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 507 PARK GROVE DR
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City | KATY
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State | TX
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Zip | 77450-1759
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Country | US
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Telephone | 713-398-9462
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Fax | 281-809-5154
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Provider Business Mailing Address
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Address Line | 12143 GLADEWICK DR
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City | HOUSTON
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State | TX
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Zip | 77077-2538
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Country | US
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Telephone | 713-398-9462
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Fax | 281-809-5154
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. CARLOS ADALBERTO MAZAS
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Credential | CLINICAL PSYCHOLOGIS
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Telephone | 713-398-9462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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