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General NPI Number Information
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NPI Number | 1669505095
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Entity Type | Organization
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Legal Business Name | MEMORIAL CARDIOLOGY ASSOCIATES PA
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 915 GESSNER SUITE 900
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City | HOUSTON
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State | TX
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Zip | 77024
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Country | US
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Telephone | 713-464-6006
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Fax | 713-464-1272
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Provider Business Mailing Address
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Address Line | 915 GESSNER SUITE 900
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City | HOUSTON
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State | TX
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Zip | 77024
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Country | US
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Telephone | 713-464-6006
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Fax | 713-464-1272
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Authorized Official
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Title or Position | OFFICER
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Name | DR. RANDALL EMMETT MORRIS
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Credential | MD FACC
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Telephone | 713-464-6006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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