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General NPI Number Information
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NPI Number | 1386884617
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Entity Type | Organization
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Legal Business Name | SOUTHWEST INTERNAL MEDICINE SPECIALISTS PA
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 04/22/2009
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Provider Practice Location Address
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Address Line | 6630 HARWIN DR SUITE 144
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City | HOUSTON
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State | TX
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Zip | 77036-2245
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Country | US
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Telephone | 979-997-2462
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19024
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City | SUGAR LAND
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State | TX
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Zip | 77496-9024
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Country | US
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Telephone | 979-997-2462
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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. ANKUR SARKAR
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Credential | M.D,
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Telephone | 979-997-2462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | K3450
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License Number State | TX
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