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General NPI Number Information
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NPI Number | 1619786902
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Entity Type | Organization
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Legal Business Name | FIRSTMED- HEALTH
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 3724 FM 1960 RD W STE 337
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City | HOUSTON
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State | TX
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Zip | 77068-3528
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Country | US
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Telephone | 281-836-5026
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Fax |
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Provider Business Mailing Address
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Address Line | 3724 FM 1960 RD W STE 337
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City | HOUSTON
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State | TX
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Zip | 77068-3528
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Country | US
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Telephone | 281-836-5026
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Fax |
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Authorized Official
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Title or Position | MANGER
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Name | LUIS FIGUEROA JR.
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Credential |
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Telephone | 718-689-2601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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