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General NPI Number Information
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NPI Number | 1558875898
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Entity Type | Organization
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Legal Business Name | TEXAS PERINATOLOGY
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Dates
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Enumeration Date | 11/23/2017
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Last Update Date | 11/23/2017
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Provider Practice Location Address
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Address Line | 413 JACKSON HILL ST
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City | HOUSTON
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State | TX
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Zip | 77007-7409
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Country | US
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Telephone | 720-982-3536
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Fax |
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Provider Business Mailing Address
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Address Line | 413 JACKSON HILL ST
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City | HOUSTON
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State | TX
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Zip | 77007-7409
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Country | US
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Telephone | 720-982-3536
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. KIRAN BABU TAM TAM
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Credential | MD
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Telephone | 720-982-3536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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