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General NPI Number Information
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NPI Number | 1497785760
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Entity Type | Organization
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Legal Business Name | TEXAS MEDICAL & SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8440 WALNUT HILL LN SUITE 120
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City | DALLAS
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State | TX
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Zip | 75231-3833
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Country | US
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Telephone | 214-345-1400
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Fax | 214-345-1452
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Provider Business Mailing Address
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Address Line | 8440 WALNUT HILL LN SUITE 400
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City | DALLAS
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State | TX
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Zip | 75231-3833
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Country | US
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Telephone | 214-345-1461
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Fax | 214-345-1462
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Authorized Official
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Title or Position | PARTNER
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Name | DR. RAYMOND R JOHNSON
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Credential | M.D.
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Telephone | 214-345-1461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | J7019
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License Number State | TX
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