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General NPI Number Information
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NPI Number | 1548477805
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Entity Type | Organization
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Legal Business Name | UNIVERSAL PHYSICIANS PA
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 3711 BRIARPARK DR STE 202
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City | HOUSTON
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State | TX
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Zip | 77042-5246
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Country | US
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Telephone | 713-893-3792
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Fax | 713-391-8374
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Provider Business Mailing Address
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Address Line | 3711 BRIARPARK DR STE 202
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City | HOUSTON
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State | TX
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Zip | 77042-5246
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Country | US
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Telephone | 713-893-3792
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Fax | 713-391-8374
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LILY LAM
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Credential |
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Telephone | 713-893-3792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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