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General NPI Number Information
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NPI Number | 1639641418
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Entity Type | Organization
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Legal Business Name | CRITICAL CARE CONSULTANTS OF HOUSTON, PLLC
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Dates
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Enumeration Date | 12/18/2018
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 200 BLOSSOM ST
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City | WEBSTER
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State | TX
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Zip | 77598-4204
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Country | US
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Telephone | 713-899-1594
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Fax | 281-816-4402
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Provider Business Mailing Address
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Address Line | PO BOX 128
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City | BELLAIRE
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State | TX
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Zip | 77402-0128
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Country | US
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Telephone | 281-833-3330
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Fax | 281-833-3323
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ALFRED SALIM MAKSOUD
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Credential | MD
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Telephone | 281-910-0443
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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 |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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