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General NPI Number Information
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NPI Number | 1598535650
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Entity Type | Organization
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Legal Business Name | RENAL CARE HOUSTON PLLC
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 205 BELLA KATY DR
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City | KATY
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State | TX
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Zip | 77494-6821
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Country | US
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Telephone | 312-752-6199
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Fax |
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Provider Business Mailing Address
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Address Line | 2299 LONE STAR DR APT 128
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City | SUGAR LAND
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State | TX
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Zip | 77479-1288
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Country | US
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Telephone | 312-752-6199
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AISHA KHATTAK
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Credential | MD
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Telephone | 312-752-6199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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