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General NPI Number Information
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NPI Number | 1457876898
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Entity Type | Organization
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Legal Business Name | MVP SPECIALIST SURGERY CENTER, LLC
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Dates
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Enumeration Date | 08/07/2017
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 7501 FANNIN ST STE 200
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City | HOUSTON
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State | TX
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Zip | 77054-1953
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Country | US
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Telephone | 713-244-5721
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Fax | 713-487-1523
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Provider Business Mailing Address
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Address Line | PO BOX 735192
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City | DALLAS
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State | TX
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Zip | 75373-5192
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Country | US
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Telephone | 713-244-5721
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Fax | 713-487-1523
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Authorized Official
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Title or Position | GOVERNING MEMBER
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Name | MRS. JUANITTA FRANCIS
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Credential |
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Telephone | 713-244-5721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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