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General NPI Number Information
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NPI Number | 1376014092
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Entity Type | Organization
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Legal Business Name | EHS PHYSICIAN GROUP PLLC
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Dates
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Enumeration Date | 12/06/2018
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 26226 INTERSTATE 45
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City | SPRING
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State | TX
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Zip | 77386-1024
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Country | US
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Telephone | 346-331-2555
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Fax | 281-719-8136
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Provider Business Mailing Address
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Address Line | PO BOX 4283 DEPT 5044
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City | HOUSTON
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State | TX
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Zip | 77210-4283
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Country | US
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Telephone | 281-592-5400
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Fax |
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Authorized Official
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Title or Position | REVENUE CYCLE DIRECTOR
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Name | SUMAN SMITH
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Credential |
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Telephone | 408-834-3592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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