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General NPI Number Information
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NPI Number | 1447295910
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Entity Type | Organization
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Legal Business Name | TEXAS MEDICAL AND SURGICAL ASSOCIATES PA
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 10/24/2017
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Provider Practice Location Address
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Address Line | 8440 WALNUT HILL LN STE 500
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City | DALLAS
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State | TX
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Zip | 75231-3833
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Country | US
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Telephone | 214-345-1400
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Fax | 214-345-1452
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Provider Business Mailing Address
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Address Line | 8440 WALNUT HILL LN STE 500
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City | DALLAS
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State | TX
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Zip | 75231-3833
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Country | US
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Telephone | 214-345-1400
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Fax | 214-345-1452
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PRESLEY M MOCK
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Credential | M.D.
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Telephone | 214-345-1494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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