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General NPI Number Information
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NPI Number | 1508615048
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Entity Type | Organization
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Legal Business Name | TEXAS CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 05/16/2024
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 12613 CITYPARK DR STE 200, RM 145.06
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City | MISSOURI CITY
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State | TX
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Zip | 77489-1244
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Country | US
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Telephone | 832-824-1000
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Fax | 832-825-9418
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Provider Business Mailing Address
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Address Line | 12613 CITYPARK DR STE 200, RM 145.06
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City | MISSOURI CITY
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State | TX
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Zip | 77489-1244
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Country | US
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Telephone | 346-232-4960
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | WELDON GAGE
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Credential |
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Telephone | 832-828-3660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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