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General NPI Number Information
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NPI Number | 1578017802
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Entity Type | Organization
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Legal Business Name | NATIONAL MEDICAL PROFESSIONALS OF HOUSTON PLLC
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Dates
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Enumeration Date | 08/03/2016
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Last Update Date | 04/28/2020
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Provider Practice Location Address
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Address Line | 9922 LOUETTA RD
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City | HOUSTON
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State | TX
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Zip | 77070-1468
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Country | US
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Telephone | 972-899-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 220 LAS COLINAS BLVD E STE 1000
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City | IRVING
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State | TX
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Zip | 75039-5500
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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 | COO
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Name | DONALD LYLES
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Credential |
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Telephone | 972-899-6996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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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 | 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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