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General NPI Number Information
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NPI Number | 1598050148
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Entity Type | Individual
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Provider Name | CURRISSA PRUITT ALSOBROOKS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2011
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 18525 W LAKE HOUSTON PKWY STE 104
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City | HUMBLE
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State | TX
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Zip | 77346-3446
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Country | US
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Telephone | 281-713-6543
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Fax |
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Provider Business Mailing Address
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Address Line | 18525 W LAKE HOUSTON PKWY STE 104
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City | HUMBLE
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State | TX
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Zip | 77346-3446
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Country | US
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Telephone | 281-713-6543
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01069748A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | P7058
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | P7058
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License Number State | TX
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