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General NPI Number Information
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NPI Number | 1609047802
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Entity Type | Organization
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Legal Business Name | SURGICAL ADVANCED SPECIALTY CENTER LL LTD., L.L.P.
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 455 SCHOOL ST SUITE 10
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City | TOMBALL
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State | TX
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Zip | 77375-4595
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Country | US
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Telephone | 281-351-5409
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Fax | 281-351-2803
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Provider Business Mailing Address
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Address Line | 455 SCHOOL ST SUITE 10
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City | TOMBALL
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State | TX
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Zip | 77375-4595
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Country | US
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Telephone | 281-351-5409
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Fax | 281-351-2803
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | MICHAEL BRIAN HARKINS
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Credential | M.D.
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Telephone | 281-351-5409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | K2483
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License Number State | TX
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