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General NPI Number Information
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NPI Number | 1497999486
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Entity Type | Organization
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Legal Business Name | INTERNIST ASSOCIATES OF HOUSTON, PLLC
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 03/19/2010
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Provider Practice Location Address
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Address Line | 7580 FANNIN ST SUITE 205
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City | HOUSTON
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State | TX
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Zip | 77054-1900
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Country | US
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Telephone | 713-797-9933
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Fax | 713-797-0461
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Provider Business Mailing Address
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Address Line | 7580 FANNIN ST SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77054-1900
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Country | US
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Telephone | 713-797-9933
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Fax | 713-797-0461
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Authorized Official
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Title or Position | VP
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Name | TODD EVANS
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Credential |
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Telephone | 713-852-1550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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