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General NPI Number Information
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NPI Number | 1366532228
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Entity Type | Organization
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Legal Business Name | MEMORIAL HERMANN SPECIALTY HOSPITAL KINGWOOD L L C
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 300 KINGWOOD MEDICAL DRIVE
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City | KINGWOOD
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State | TX
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Zip | 77339-6400
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Country | US
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Telephone | 281-312-4000
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Fax | 281-358-2461
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Provider Business Mailing Address
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Address Line | 14201 DALLAS PKWY
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City | DALLAS
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State | TX
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Zip | 75254-2916
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Country | US
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Telephone | 972-763-3859
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Fax | 281-358-2461
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Authorized Official
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Title or Position | OFFICER / AUTHORIZED OFFICIAL
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Name | NICHOLAS CRAFTS
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Credential |
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Telephone | 832-729-4009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 008591
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License Number State | TX
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