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General NPI Number Information
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NPI Number | 1376699025
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Entity Type | Organization
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Legal Business Name | HOUSTON SURGICAL ASSISTANTS
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9896 BISSONNET ST SUITE 402
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City | HOUSTON
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State | TX
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Zip | 77036-8202
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Country | US
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Telephone | 713-533-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 9896 BISSONNET ST SUITE 402
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City | HOUSTON
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State | TX
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Zip | 77036-8202
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Country | US
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Telephone | 713-533-4444
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. DENNIS MARRERO
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Credential | OPA-C,LSA,CFA
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Telephone | 713-533-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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