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General NPI Number Information
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NPI Number | 1629103221
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Entity Type | Organization
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Legal Business Name | MEMORIAL PULMONARY AND SLEEP DISORDERS ASSOCIATES P A
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 18300 KATY FWY STE 615
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City | HOUSTON
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State | TX
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Zip | 77094-1494
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Country | US
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Telephone | 713-464-8099
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Fax | 713-465-1921
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Provider Business Mailing Address
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Address Line | 10837 KATY FWY SUITE 250
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City | HOUSTON
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State | TX
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Zip | 77079-2205
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Country | US
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Telephone | 713-464-8099
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Fax | 713-465-1921
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JAMAL A. RAZZACK
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Credential | M.D.
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Telephone | 713-464-8099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | K4205
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License Number State | TX
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