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General NPI Number Information
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NPI Number | 1366475485
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Entity Type | Organization
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Legal Business Name | MEMORIAL UROLOGY ASSOCIATES, P.A.
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 915 GESSNER RD SUITE 720
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City | HOUSTON
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State | TX
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Zip | 77024-2527
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Country | US
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Telephone | 713-830-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 915 GESSNER RD SUITE 720
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City | HOUSTON
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State | TX
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Zip | 77024-2527
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Country | US
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Telephone | 713-830-9200
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | DR. MELVYN ALAN ANHALT
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Credential | MD
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Telephone | 713-830-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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