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General NPI Number Information
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NPI Number | 1659974327
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Entity Type | Organization
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Legal Business Name | INTERVENTIONAL PARTNERS LLC
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 23510 KINGSLAND BLVD STE 100
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City | KATY
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State | TX
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Zip | 77494-4125
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Country | US
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Telephone | 281-565-0033
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Fax | 281-565-0568
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Provider Business Mailing Address
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Address Line | 8135 FOREST LN # 515057
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City | DALLAS
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State | TX
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Zip | 75230-2472
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Country | US
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Telephone | 469-850-5760
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Fax | 469-716-4193
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | JARYD STEIN
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Credential |
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Telephone | 213-392-4976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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