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General NPI Number Information
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NPI Number | 1669927752
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Entity Type | Organization
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Legal Business Name | NORTH HOUSTON GYNECOLOGIC ONCOLOGY SURGEONS PLLC
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Dates
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Enumeration Date | 08/18/2016
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 128 VISION PARK BLVD 280
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City | SHENANDOAH
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State | TX
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Zip | 77384-3017
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Country | US
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Telephone | 281-292-1400
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Fax | 281-292-1404
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Provider Business Mailing Address
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Address Line | 128 VISION PARK BLVD STE 280
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City | SHENANDOAH
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State | TX
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Zip | 77384-3021
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Country | US
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Telephone | 936-207-4287
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Fax | 936-447-9269
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Authorized Official
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Title or Position | PRESIDENT
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Name | NEFERTITI DUPONT
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Credential | MD
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Telephone | 936-207-4287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number |
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License Number State | TX
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