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NPI 1528454675

NPI 1528454675 : UNIVERSITY OF HOUSTON HEALTH CENTER : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1528454675
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIVERSITY OF HOUSTON HEALTH CENTER 
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Dates
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    Enumeration Date     |    04/15/2015
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    Last Update Date     |    06/07/2021
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Provider Practice Location Address
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    Address Line         |    HEALTH 2, 4849 CALHOUN ROAD ROOM 2005
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77204-3019
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    Country              |    US
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    Telephone            |    713-743-5151
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    Fax                  |    713-743-5164
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Provider Business Mailing Address
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    Address Line         |    HEALTH 2, 4849 CALHOUN ROAD ROOM 2005
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77204-3019
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    Country              |    US
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    Telephone            |    713-743-5151
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    Fax                  |    713-743-5164
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR/CHIEF PHYSICIAN
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    Name                 |     CHERYL LYNN PERSON 
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    Credential           |    M.D.
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    Telephone            |    713-743-2719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QS1000X
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    Taxonomy Name        |    Student Health Clinic/Center
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    License Number       |    
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    License Number State |    
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