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General NPI Number Information
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NPI Number | 1386143576
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Entity Type | Organization
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Legal Business Name | EVOLUTION TMS OF HOUSTON PLLC
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 02/02/2018
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Provider Practice Location Address
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Address Line | 3000 RICHMOND AVE STE 425
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City | HOUSTON
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State | TX
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Zip | 77098-3188
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Country | US
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Telephone | 832-752-2688
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 RICHMOND AVE STE 425
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City | HOUSTON
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State | TX
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Zip | 77098-3188
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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 | PRESIDENT
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Name | DR. JASON GLENN GARVIN
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Credential | DO
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Telephone | 832-752-2688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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