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General NPI Number Information
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NPI Number | 1417178120
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Entity Type | Organization
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Legal Business Name | SUGARLAND EMERGENCY PHYSICIANS PA
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 16000 SOUTHWEST FWY STE 100
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City | SUGAR LAND
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State | TX
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Zip | 77479-2674
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Country | US
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Telephone | 281-980-4357
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Fax | 281-980-4445
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Provider Business Mailing Address
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Address Line | 2703 TELECOM PKWY STE 140A
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City | RICHARDSON
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State | TX
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Zip | 75082-3507
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Country | US
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Telephone | 469-436-8100
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Fax | 469-436-8111
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHANNON M ORSAK
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Credential | MD
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Telephone | 281-980-4357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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