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General NPI Number Information
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NPI Number | 1366830614
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Entity Type | Organization
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Legal Business Name | HOUSTON SPINE & JOINT PAIN CONSULTANTS PLLC
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Dates
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Enumeration Date | 01/08/2015
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 4101 GREENBRIAR DR # 208
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City | HOUSTON
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State | TX
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Zip | 77098-5294
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Country | US
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Telephone | 832-538-1024
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Fax | 832-538-1023
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Provider Business Mailing Address
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Address Line | 4101 GREENBRIAR DR # 208
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City | HOUSTON
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State | TX
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Zip | 77098-5294
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Country | US
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Telephone | 832-777-7246
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Fax | 832-706-7777
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Authorized Official
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Title or Position | MD
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Name | SHABREZ TARIQ
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Credential |
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Telephone | 832-777-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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