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General NPI Number Information
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NPI Number | 1518394568
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Entity Type | Organization
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Legal Business Name | PHYSICIANS 24 HOUR LP
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Dates
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Enumeration Date | 10/07/2013
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Last Update Date | 10/07/2013
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Provider Practice Location Address
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Address Line | 6750 WEST LOOP S STE 950
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City | BELLAIRE
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State | TX
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Zip | 77401-4124
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Country | US
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Telephone | 713-838-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 4524 RESEARCH FOREST DR
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City | THE WOODLANDS
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State | TX
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Zip | 77381-4237
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Country | US
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Telephone | 713-838-0800
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Fax | 713-838-0887
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KELLY LARKIN
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Credential | MD
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Telephone | 713-838-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State | TX
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