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General NPI Number Information
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NPI Number | 1356681498
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Entity Type | Organization
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Legal Business Name | MEMORIAL PLASTIC SURGERY, LLLP
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 1200 BINZ ST SUITE 1200
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City | HOUSTON
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State | TX
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Zip | 77004-6900
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Country | US
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Telephone | 281-344-8220
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Fax | 281-344-8212
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Provider Business Mailing Address
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Address Line | DEPT. 856 P.O. BOX 4346
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City | HOUSTON
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State | TX
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Zip | 77210-4346
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Country | US
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Telephone | 281-344-8220
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Fax | 281-344-8212
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. PATRICK HSU
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Credential | M.D.
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Telephone | 281-344-8220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | M8717
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License Number State | TX
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