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General NPI Number Information
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NPI Number | 1447554191
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Entity Type | Organization
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Legal Business Name | MEMORIAL EMERGENCY PHYSICIANS P.A.
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 9774 KATY FWY SUITE 500
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City | HOUSTON
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State | TX
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Zip | 77055-6223
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Country | US
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Telephone | 832-358-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HIBURY DR
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City | HOUSTON
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State | TX
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Zip | 77024-7141
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Country | US
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Telephone | 832-358-0200
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LAURA MENDOZA
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Credential | MD
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Telephone | 832-358-0200
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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 | L3765
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License Number State | TX
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