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General NPI Number Information
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NPI Number | 1417034513
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Entity Type | Organization
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Legal Business Name | TEXAS THORACIC ASSOCIATES PA
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 4102 WOODLAWN SUITE 210
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City | PASADENA
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State | TX
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Zip | 77504-1947
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Country | US
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Telephone | 713-946-9700
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Fax | 713-946-9777
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Provider Business Mailing Address
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Address Line | 4102 WOODLAWN SUITE 210
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City | PASADENA
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State | TX
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Zip | 77504-1947
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Country | US
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Telephone | 713-946-9700
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Fax | 713-946-9777
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAY H CHEN
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Credential | MD
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Telephone | 713-946-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | E5356
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License Number State | TX
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