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General NPI Number Information
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NPI Number | 1558000836
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Entity Type | Organization
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Legal Business Name | INFECTIOUS DISEASES CONSULTANTS OF NORTHWEST HOUSTON PLLC
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 21212 NORTHWEST FWY STE 435
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City | CYPRESS
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State | TX
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Zip | 77429-5887
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Country | US
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Telephone | 713-775-8914
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Fax | 832-500-8683
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Provider Business Mailing Address
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Address Line | 10703 WINDING ARBOR CT
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City | CYPRESS
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State | TX
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Zip | 77433-7136
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Country | US
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Telephone | 713-775-8914
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Fax | 832-500-8683
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. STEPHANIE B PANKOW
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Credential | DO
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Telephone | 713-775-8914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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