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General NPI Number Information
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NPI Number | 1528948882
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Entity Type | Organization
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Legal Business Name | TEXAS LIVER HEALTH PLLC
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 617 TRAVIS AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-3153
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Country | US
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Telephone | 507-369-8904
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Fax |
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Provider Business Mailing Address
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Address Line | 617 TRAVIS AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-3153
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Country | US
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Telephone | 682-427-0200
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Fax | 682-474-0400
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Authorized Official
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Title or Position | OWNER / MEDICAL DIRECTOR
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Name | DR. THOMAS GERARD COTTER
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Credential | MD
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Telephone | 682-427-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207RT0003X
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Taxonomy Name | Transplant Hepatology Physician
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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