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General NPI Number Information
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NPI Number | 1528591005
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Entity Type | Organization
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Legal Business Name | A BUITRAGO SURGICAL
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 7600 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77054-1906
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Country | US
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Telephone | 409-370-8466
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 57715
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City | WEBSTER
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State | TX
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Zip | 77598-7715
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Country | US
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Telephone | 409-370-8466
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Fax |
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Authorized Official
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Title or Position | LSA
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Name | ANNETTE GUERRA
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Credential | LSA
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Telephone | 409-370-8466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | SA000587
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License Number State | TX
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