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General NPI Number Information
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NPI Number | 1366505067
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Entity Type | Organization
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Legal Business Name | AFTER HOURS PEDIATRIC CENTER
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3351 PLAINVIEW ST #A5
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City | PASADENA
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State | TX
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Zip | 77504-1985
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Country | US
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Telephone | 713-947-1770
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Fax |
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Provider Business Mailing Address
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Address Line | 3351 PLAINVIEW ST #A5
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City | PASADENA
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State | TX
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Zip | 77504-1985
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Country | US
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Telephone | 713-947-1770
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ALEXIS S MUNIZ
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Credential | MD
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Telephone | 713-947-1770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 00R43T
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License Number State | TX
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