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General NPI Number Information
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NPI Number | 1346670080
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Entity Type | Organization
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Legal Business Name | DEL SOL CENTRO MEDICO FAMILIAR PLLC
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Dates
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Enumeration Date | 11/16/2013
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 3100 BROADWAY ST SUITE 104-E
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City | HOUSTON
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State | TX
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Zip | 77017-2337
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Country | US
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Telephone | 713-634-0200
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Fax | 713-634-0202
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Provider Business Mailing Address
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Address Line | 3100 BROADWAY ST STE 104E
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City | HOUSTON
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State | TX
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Zip | 77017-2338
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Country | US
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Telephone | 713-634-0200
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Fax | 713-634-0202
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Authorized Official
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Title or Position | DIRECTOR
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Name | LUIS E ZEPEDA
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Credential | M.D.
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Telephone | 713-634-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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