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General NPI Number Information
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NPI Number | 1619151875
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Entity Type | Organization
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Legal Business Name | QUALITY MEDICAL CENTER EMERGENCY ROOM
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 12/24/2007
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Provider Practice Location Address
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Address Line | 6671 SOUTHWEST FWY SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77074-2212
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Country | US
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Telephone | 713-219-4080
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Fax | 713-219-4081
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Provider Business Mailing Address
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Address Line | 6671 SOUTHWEST FREEWAY SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77074
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Country | US
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Telephone | 713-219-4080
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Fax | 713-219-4081
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Authorized Official
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Title or Position | MEDICAL DIRECTOR2
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Name | DR. RODOLFO MENDEZ-CANCEL
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Credential | MD
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Telephone | 713-219-4080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | J7582
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License Number State | TX
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