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General NPI Number Information
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NPI Number | 1538115076
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Entity Type | Organization
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Legal Business Name | BAYOU CITY PAIN CONSULTANTS
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 4747 BELLAIRE BLVD STE 101
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City | BELLAIRE
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State | TX
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Zip | 77401-4515
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Country | US
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Telephone | 713-622-1700
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Fax | 832-532-4321
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Provider Business Mailing Address
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Address Line | 4747 BELLAIRE BLVD STE 101
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City | BELLAIRE
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State | TX
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Zip | 77401-4515
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Country | US
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Telephone | 713-622-1700
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Fax | 832-532-4321
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | THOMAS BURGESS
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Credential | DO
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Telephone | 713-622-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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