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General NPI Number Information
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NPI Number | 1558405894
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Entity Type | Organization
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Legal Business Name | TEXAS NEUROLOGICAL CLINIC ASSOCIATION
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 4126 SOUTHWEST FWY STE 1210
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City | HOUSTON
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State | TX
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Zip | 77027-7344
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Country | US
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Telephone | 713-621-9291
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Fax | 713-621-0881
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Provider Business Mailing Address
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Address Line | 4126 SOUTHWEST FWY STE 1210
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City | HOUSTON
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State | TX
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Zip | 77027-7344
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Country | US
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Telephone | 713-621-9291
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Fax | 713-621-0881
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM JOHN RILEY
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Credential | MD
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Telephone | 713-621-9291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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