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General NPI Number Information
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NPI Number | 1639165129
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Entity Type | Organization
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Legal Business Name | NORTH HOUSTON RESPIRATORY CONSULTANTS PA
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9950 MEMORIAL BLVD SUITE 102
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City | HUMBLE
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State | TX
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Zip | 77338-4282
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Country | US
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Telephone | 284-446-6803
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Fax | 281-446-0449
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Provider Business Mailing Address
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Address Line | 9950 MEMORIAL BLVD SUITE 102
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City | HUMBLE
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State | TX
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Zip | 77338-4282
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Country | US
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Telephone | 284-446-6803
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Fax | 281-446-0449
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Authorized Official
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Title or Position | PHYSICIAN
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Name | FAKHRUDDIN A RAKLA
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Credential | MD
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Telephone | 281-446-6803
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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 |
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License Number State | TX
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