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General NPI Number Information
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NPI Number | 1396185674
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Entity Type | Organization
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Legal Business Name | TEXAS MEDICAL MS GROUP LLC
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 08/17/2016
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Provider Practice Location Address
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Address Line | 2626 S LOOP W STE 690
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City | HOUSTON
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State | TX
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Zip | 77054-2654
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Country | US
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Telephone | 713-400-7246
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Fax | 281-569-4619
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Provider Business Mailing Address
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Address Line | 5318 WESLAYAN ST #175
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City | HOUSTON
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State | TX
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Zip | 77005-1048
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Country | US
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Telephone | 713-400-7246
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Fax | 281-569-4619
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Authorized Official
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Title or Position | CEO
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Name | SHERYA RANI AGGARWAL
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Credential |
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Telephone | 713-400-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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