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General NPI Number Information
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NPI Number | 1487758538
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Entity Type | Organization
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Legal Business Name | J B TANG JR MD PA
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 06/20/2011
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Provider Practice Location Address
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Address Line | 1631 NORTH LOOP WEST #635
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City | HOUSTON
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State | TX
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Zip | 77008-1536
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Country | US
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Telephone | 713-880-0218
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Fax | 713-864-3514
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Provider Business Mailing Address
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Address Line | 1631 NORTH LOOP WEST #635
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City | HOUSTON
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State | TX
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Zip | 77008-1536
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Country | US
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Telephone | 713-880-0218
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Fax | 713-864-3514
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | JAMES B TANG
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Credential |
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Telephone | 713-880-0218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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