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General NPI Number Information
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NPI Number | 1629300538
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Entity Type | Organization
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Legal Business Name | WILLIAM H. OBENOUR, JR., M.D., P.A.
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 6560 FANNIN ST SUITE 1112
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City | HOUSTON
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State | TX
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Zip | 77030-2761
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Country | US
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Telephone | 713-790-1541
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Fax | 713-790-1581
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Provider Business Mailing Address
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Address Line | 6560 FANNIN ST SUITE 1112
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City | HOUSTON
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State | TX
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Zip | 77030-2761
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Country | US
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Telephone | 713-790-1541
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Fax | 713-790-1581
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Authorized Official
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Title or Position | PRESIDENT, V.PRES., SEC-TREAS
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Name | DR. WILLIAM HYPES OBENOUR JR.
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Credential | M.D.
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Telephone | 713-790-1541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | D7650
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License Number State | TX
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