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General NPI Number Information
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NPI Number | 1669417317
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Entity Type | Organization
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Legal Business Name | SOUTHERN TEXAS PHYSICIANS NETWORK, INC.
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 08/30/2007
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Provider Practice Location Address
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Address Line | 8830 LONG POINT RD
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City | HOUSTON
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State | TX
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Zip | 77055-3040
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Country | US
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Telephone | 713-647-0038
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Fax |
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Provider Business Mailing Address
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Address Line | 8830 LONG POINT RD
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City | HOUSTON
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State | TX
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Zip | 77055-3026
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Country | US
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Telephone | 713-647-0038
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Fax |
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Authorized Official
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Title or Position | VP
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Name | TODD EVANS
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Credential |
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Telephone | 713-647-0038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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