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General NPI Number Information
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NPI Number | 1356389605
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Entity Type | Organization
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Legal Business Name | WEST HOUSTON RADIOLOGY ASSOCIATES LLP
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 21214 NORTHWEST FWY
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City | CYPRESS
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State | TX
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Zip | 77429
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Country | US
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Telephone | 281-455-7618
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Fax | 281-781-2003
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Provider Business Mailing Address
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Address Line | 2330 UTAH AVE STE 200
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City | EL SEGUNDO
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State | CA
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Zip | 90245-4817
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Country | US
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Telephone | 424-213-9368
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | SHARLEE LEBLEU
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Credential |
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Telephone | 480-321-7026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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