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General NPI Number Information
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NPI Number | 1487726774
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Entity Type | Organization
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Legal Business Name | HILLCROFT FAMILY MEDICAL CLINIC PA
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 11861 S SAM HOUSTON PKWY W STE A
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City | HOUSTON
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State | TX
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Zip | 77031-2362
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Country | US
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Telephone | 281-564-3535
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Fax | 281-564-3545
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Provider Business Mailing Address
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Address Line | 11861 S SAM HOUSTON PKWY W STE A
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City | HOUSTON
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State | TX
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Zip | 77031-2362
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Country | US
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Telephone | 281-564-3535
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Fax | 281-564-3545
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | MR. HUAN DOAN NGO
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Credential | DO
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Telephone | 281-564-3535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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