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General NPI Number Information
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NPI Number | 1528070182
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Entity Type | Organization
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Legal Business Name | TOMBALL UROLOGY ASSOCIATES,PA
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 919 GRAHAM DR STE. A
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City | TOMBALL
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State | TX
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Zip | 77375-6408
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Country | US
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Telephone | 281-290-9800
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Fax | 281-290-9824
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Provider Business Mailing Address
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Address Line | 919 GRAHAM DR STE. A
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City | TOMBALL
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State | TX
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Zip | 77375-6408
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Country | US
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Telephone | 281-290-9800
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Fax | 281-290-9824
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Authorized Official
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Title or Position | PRACTICE MANAAGER
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Name | MRS. LOIS A. FLECK
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Credential |
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Telephone | 281-290-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | TX
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