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General NPI Number Information
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NPI Number | 1629245303
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Entity Type | Organization
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Legal Business Name | PHILLIP WEINSTEIN M.D., P.A.
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 902 FROSTWOOD DR SUITE 262
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City | HOUSTON
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State | TX
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Zip | 77024-2420
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Country | US
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Telephone | 713-932-0118
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Fax |
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Provider Business Mailing Address
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Address Line | 902 FROSTWOOD DR STE 262
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City | HOUSTON
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State | TX
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Zip | 77024-2422
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Country | US
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Telephone | 713-932-0118
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILLIP WEINSTEIN
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Credential | M.D.
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Telephone | 713-932-0118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | F0074
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License Number State | TX
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