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General NPI Number Information
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NPI Number | 1376939538
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Entity Type | Organization
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Legal Business Name | NIGHTLIGHT AFTER HOURS PEDIATRICS PLLC
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 19325 GULF FWY SUITE 170
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City | WEBSTER
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State | TX
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Zip | 77598-2808
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Country | US
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Telephone | 832-992-5050
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Fax | 281-325-1060
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Provider Business Mailing Address
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Address Line | 15551 SOUTHWEST FWY
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City | SUGAR LAND
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State | TX
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Zip | 77478-3830
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Country | US
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Telephone | 281-325-1010
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Fax | 281-325-1060
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Authorized Official
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Title or Position | COO
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Name | ZAWADI BRYANT
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Credential |
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Telephone | 281-325-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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