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General NPI Number Information
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NPI Number | 1336903871
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Entity Type | Organization
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Legal Business Name | PHW SOUTHWEST, PLLC
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 8323 SOUTHWEST FWY STE 105
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City | HOUSTON
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State | TX
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Zip | 77074-1636
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Country | US
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Telephone | 713-485-6300
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Fax | 713-993-6391
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Provider Business Mailing Address
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Address Line | 8323 SOUTHWEST FWY STE 105
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City | HOUSTON
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State | TX
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Zip | 77074-1636
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Country | US
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Telephone | 713-485-6300
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Fax | 713-993-6391
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHLEEN PARRISH
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Credential |
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Telephone | 281-790-8001
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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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