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General NPI Number Information
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NPI Number | 1639656325
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Entity Type | Organization
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Legal Business Name | OPEN ARMS HEALTHCARE OF TEXAS INC.
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 8150 SPRINGWOOD DR # 150B
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City | IRVING
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State | TX
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Zip | 75063-5810
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Country | US
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Telephone | 469-253-5834
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Fax | 469-253-5834
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Provider Business Mailing Address
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Address Line | 8150 SPRINGWOOD DR # 150B
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City | IRVING
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State | TX
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Zip | 75063-5810
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Country | US
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Telephone | 469-253-5834
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Fax |
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Authorized Official
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Title or Position | REGIONAL DIRECTOR
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Name | STEPHANIE PINER
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Credential |
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Telephone | 469-253-5834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M2606
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License Number State | TX
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