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General NPI Number Information
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NPI Number | 1376379263
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Entity Type | Organization
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Legal Business Name | TEXAS NEUROSCIENCES PLLC
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 215 OAK DR S STE I
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City | LAKE JACKSON
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State | TX
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Zip | 77566-5618
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Country | US
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Telephone | 832-755-8726
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1137
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City | BELLAIRE
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State | TX
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Zip | 77402-1137
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | AARON MOHANTY
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Credential | MD
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Telephone | 832-755-8726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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