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General NPI Number Information
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NPI Number | 1386009462
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Entity Type | Organization
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Legal Business Name | FOREFRONT PHYSICIANS PLLC
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 12/16/2015
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Provider Practice Location Address
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Address Line | 7051 FM 1464 RD
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City | RICHMOND
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State | TX
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Zip | 77407-9542
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Country | US
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Telephone | 281-961-3217
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Fax |
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Provider Business Mailing Address
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Address Line | 7051 FM 1464 RD
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City | RICHMOND
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State | TX
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Zip | 77407-9542
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Country | US
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Telephone | 281-961-3217
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ETHAN TRAN
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Credential | MD
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Telephone | 281-961-3217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | P3089
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License Number State | TX
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