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General NPI Number Information
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NPI Number | 1568620185
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Entity Type | Organization
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Legal Business Name | TEXAS FOUNDATION SURGICAL
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 2721 CHIMNEY ROCK RD
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City | HOUSTON
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State | TX
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Zip | 77056-4035
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Country | US
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Telephone | 713-498-1529
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25225
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City | HOUSTON
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State | TX
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Zip | 77265-5225
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MOHSEN HOJABRI
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Credential |
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Telephone | 713-498-1529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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