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General NPI Number Information
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NPI Number | 1568130763
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Entity Type | Organization
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Legal Business Name | LETSOUMD, PLLC
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 5010 CRENSHAW RD STE 100
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City | PASADENA
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State | TX
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Zip | 77505-4043
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Country | US
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Telephone | 713-244-6359
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Fax |
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Provider Business Mailing Address
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Address Line | 25511 BUDDE RD STE 2502
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City | THE WOODLANDS
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State | TX
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Zip | 77380-2388
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Country | US
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Telephone | 832-616-5560
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE LETSOU
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Credential | MD
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Telephone | 281-841-7928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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