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General NPI Number Information
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NPI Number | 1396175246
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Entity Type | Organization
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Legal Business Name | MEMORIAL HERMANN BAY AREA ENDOSCOPY CENTER, LLC
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Dates
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Enumeration Date | 11/13/2013
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 444 FM 1959 RD STE B
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City | HOUSTON
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State | TX
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Zip | 77034-5416
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Country | US
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Telephone | 281-892-2420
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Fax | 281-892-2448
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Provider Business Mailing Address
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Address Line | 444 FM 1959 RD STE B
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City | HOUSTON
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State | TX
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Zip | 77034-5416
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Country | US
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Telephone | 281-892-2420
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Fax | 281-892-2448
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Authorized Official
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Title or Position | OFFICER/AUTHORIZED OFFICIAL
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Name | NICK CRAFTS
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Credential |
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Telephone | 832-729-4009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 130176
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License Number State | TX
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