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General NPI Number Information
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NPI Number | 1396935532
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Entity Type | Organization
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Legal Business Name | SELECT RADIOLOGY ASSOCIATES, P.L.L.C.
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 05/24/2014
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Provider Practice Location Address
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Address Line | 1415 NORTH LOOP W SUITE 240
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City | HOUSTON
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State | TX
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Zip | 77008-1664
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Country | US
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Telephone | 713-426-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 NORTH LOOP W SUITE 240
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City | HOUSTON
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State | TX
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Zip | 77008-1664
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Country | US
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Telephone | 713-426-9100
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | JOSE ARTURO SPENCER
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Credential | M.D.
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Telephone | 281-894-0014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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