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General NPI Number Information
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NPI Number | 1548892714
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Entity Type | Organization
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Legal Business Name | CITY HOSPITAL PHYSICIAN GROUP INC
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 9440 POPPY DR
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City | DALLAS
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State | TX
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Zip | 75218-3652
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Country | US
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Telephone | 214-324-6117
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Fax |
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Provider Business Mailing Address
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Address Line | 9440 POPPY DR
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City | DALLAS
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State | TX
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Zip | 75218-3652
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Country | US
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Telephone | 214-324-6117
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN MYERS
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Credential | M.D.
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Telephone | 214-324-6117
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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 | 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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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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