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General NPI Number Information
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NPI Number | 1356734644
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Entity Type | Organization
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Legal Business Name | SABA ASAD ANSARI P.A.
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Dates
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Enumeration Date | 03/10/2015
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 948 S FRY RD
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City | KATY
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State | TX
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Zip | 77450-3061
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Country | US
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Telephone | 281-398-7778
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Fax | 281-398-7779
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Provider Business Mailing Address
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Address Line | 948 S FRY RD
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City | KATY
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State | TX
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Zip | 77450-3061
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Country | US
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Telephone | 281-398-7778
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Fax | 281-398-7779
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Authorized Official
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Title or Position | CEO
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Name | DR. REGGIE ABRAHAM
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Credential |
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Telephone | 281-398-7778
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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 | P3938
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P2576
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 737294
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License Number State | TX
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Taxonomy #4
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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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