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General NPI Number Information
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NPI Number | 1568212330
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Entity Type | Organization
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Legal Business Name | DAT EMERGENCY PHYSICIANS, PLLC
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 9900 WESTPARK DR STE 110
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City | HOUSTON
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State | TX
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Zip | 77063-5278
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Country | US
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Telephone | 346-624-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 5603 FOREST TRAILS DR
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City | HOUSTON
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State | TX
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Zip | 77084-6730
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Country | US
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Telephone | 281-753-5509
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Fax |
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Authorized Official
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Title or Position | OWNING MANAGER
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Name | DR. DANIELLE BROWN
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Credential | MD
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Telephone | 281-753-5509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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