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General NPI Number Information
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NPI Number | 1558770735
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Entity Type | Organization
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Legal Business Name | GOTEXASCARE, LLC
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 08/12/2014
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Provider Practice Location Address
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Address Line | 3526 E FM 528 RD STE 100
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-5003
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Country | US
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Telephone | 281-422-7144
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Fax | 281-422-7153
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Provider Business Mailing Address
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Address Line | 3526 E FM 528 RD STE 100
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-5003
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Country | US
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Telephone | 281-422-7144
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Fax | 281-422-7153
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HASAN H RAHMAN
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Credential |
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Telephone | 281-660-9254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State | TX
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