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General NPI Number Information
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NPI Number | 1629777966
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Entity Type | Organization
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Legal Business Name | PHENOMENAL HEALTH CARE, PLLC
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 17030 NANES DR STE 110
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City | HOUSTON
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State | TX
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Zip | 77090-2504
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Country | US
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Telephone | 713-489-2570
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Fax |
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Provider Business Mailing Address
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Address Line | 2129 FM 2920 STE 190 #210
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City | SPRING
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State | TX
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Zip | 77388
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Country | US
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Telephone | 713-489-2570
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | FUCHSIA FLINT
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Credential | NP
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Telephone | 713-489-2570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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