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General NPI Number Information
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NPI Number | 1538051628
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Entity Type | Individual
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Provider Name | FAISAL BA
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Gender | Male
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 13440 UNIVERSITY BLVD STE 100
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City | SUGAR LAND
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State | TX
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Zip | 77479-4907
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Country | US
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Telephone | 832-500-8135
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Fax | 833-521-2186
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Provider Business Mailing Address
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Address Line | 4700 SETON CENTER PKWY STE 115
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City | AUSTIN
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State | TX
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Zip | 78759-5753
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Country | US
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Telephone | 346-440-0644
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Fax | 346-478-0182
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA19433
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA19433
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License Number State | TX
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