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General NPI Number Information
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NPI Number | 1538322516
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Entity Type | Organization
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Legal Business Name | INFINITE MIND & BODY PA
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 13414 MEDICAL COMPLEX DR SUITE 7
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City | TOMBALL
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State | TX
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Zip | 77375-6470
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Country | US
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Telephone | 281-351-5900
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Fax | 281-351-5907
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Provider Business Mailing Address
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Address Line | PO BOX 540088
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City | HOUSTON
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State | TX
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Zip | 77254-0088
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Country | US
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Telephone | 713-850-1190
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Fax | 713-850-1327
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Authorized Official
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Title or Position | DIRECTOR
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Name | ALOK KRISHNA
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Credential | MD
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Telephone | 281-351-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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