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General NPI Number Information
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NPI Number | 1609423409
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Entity Type | Organization
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Legal Business Name | ORTHO HOUSTON
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 15200 SOUTHWEST FWY STE 350
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City | SUGAR LAND
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State | TX
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Zip | 77478-3880
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Country | US
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Telephone | 713-714-1256
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Fax | 727-781-3312
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Provider Business Mailing Address
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Address Line | 15200 SOUTHWEST FWY STE 350
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City | SUGAR LAND
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State | TX
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Zip | 77478-3880
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Country | US
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Telephone | 713-714-1256
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Fax | 727-781-3312
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Authorized Official
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Title or Position | PRESIDENT
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Name | TERRENCE DAMON ANDERSON
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Credential | MD
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Telephone | 713-628-4467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery 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 | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number |
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License Number State |
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