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General NPI Number Information
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NPI Number | 1477643690
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Entity Type | Organization
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Legal Business Name | TEXAS CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 6621 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2303
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Country | US
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Telephone | 832-824-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 HOLCOMBE BLVD JP MCGOVERN BLDG 22G
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City | HOUSTON
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State | TX
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Zip | 77021-2039
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Country | US
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Telephone | 832-824-6809
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Fax | 832-825-2184
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT/CFO
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Name | WELDON GAGE
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Credential |
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Telephone | 832-828-3660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC0050X
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Taxonomy Name | Critical Access Hospital Clinic/Center
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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 | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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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 | 281PC2000X
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Taxonomy Name | Children's Chronic Disease Hospital
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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 | 341600000X
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Taxonomy Name | Ambulance
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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 | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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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 | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 000117
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License Number State | TX
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