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General NPI Number Information
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NPI Number | 1487086427
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Entity Type | Organization
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Legal Business Name | G.A.DEBAKEY M.D. P.A.
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 11609 SPRING CYPRESS RD SUITE A
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City | TOMBALL
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State | TX
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Zip | 77377-8917
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Country | US
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Telephone | 281-351-1195
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Fax | 281-351-0519
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Provider Business Mailing Address
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Address Line | 11609 SPRING CYPRESS RD SUITE A
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City | TOMBALL
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State | TX
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Zip | 77377-8917
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Country | US
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Telephone | 281-351-1195
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Fax | 281-351-0519
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Authorized Official
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Title or Position | OWNER
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Name | GARY ALAN DEBAKEY
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Credential | M.D.
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Telephone | 281-351-1195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | G3282
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License Number State | TX
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